IndividualActive
Jessica Dacosta, APRN, AGNP
NPI 1245971571 · Geriatric Medicine (Family Medicine) Physician · Brookfield, CT
Provider details
- NPI number
- 1245971571
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN, AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10496 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2 Old New Milford Rd Ste 3d
Brookfield, CT 06804-2426
Phone: (203) 885-0910
Approximate (ZIP-level) locationGet directions
Mailing address
53 Elbow Hill Rd
Brookfield, CT 06804-1905
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.