IndividualActive
Jessica Prisco, NP
NPI 1407300593 · Primary Care Nurse Practitioner · Newington, CT
Provider details
- NPI number
- 1407300593
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 12.006611 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
555 Willard Ave
Newington, CT 06111-2631
Phone: (860) 666-6951
Approximate (ZIP-level) locationGet directions
Mailing address
16 Cobblestone Dr
Groton, CT 06340-3853
Registry dates
- Enumerated
- 2016-08-07
- Last updated
- 2016-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.