Accepts Medicare Nurse Practitioner in Meriden, Connecticut.
Kathryn E Jack is a Meriden, Connecticut based nurse practitioner with 24 years of experience in . She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathryn E Jack is 002455 for Adult Health in Connecticut. Her current practice location is 455 Lewis Ave, Suite 106, Meriden. Patients can reach her at 203-886-0036 or can fax her at 203-886-0072. Kathryn E Jack is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1265456347. Kathryn E Jack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathryn E Jack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kathryn E Jack
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN
Experience:
24+ years
Medical School Attended:
Other
Graduation Year:
2000
Accepts Medicare Assignment:
Yes
Practice Address:
455 Lewis Ave, Suite 106, Meriden, Connecticut, 06451-2121
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426054479
Enrollment ID:
I20061013000402
NPI Number:
1265456347
NPI Enumeration Date:
26 Jul, 2006
NPI Last Update On:
05 Nov, 2013
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathryn E Jack are as mentioned below.
License Number
Specialization
State
Status
002455
Adult Health
Connecticut
Primary
002455
Nurse Practitioner
Connecticut
Secondary
002455
Family
Connecticut
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(070017)
Meriden, CT
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathryn E Jack is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Connecticut Gi Pc (9830110758)
163
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathryn E Jack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004219491
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kathryn E Jack 2139 Silas Deane Hwy, Rocky Hill, Connecticut
Zip:
06067-2336
Phone Number:
860-257-4131
Fax Number:
860-257-4519
Patients can reach Kathryn E Jack at 455 Lewis Ave, Suite 106, Meriden, Connecticut or can call to book an appointment on 203-886-0036.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.