IndividualActive
Jasmine Pacheco
NPI 1174071062 · Personal Care Attendant · New London, CT
Provider details
- NPI number
- 1174071062
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NA9989861 (CT)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
90 Ledge Rd
New London, CT 06320-2514
Phone: (203) 802-2598
Approximate (ZIP-level) locationGet directions
Mailing address
90 Ledge Rd
New London, CT 06320-2514
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2016-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.