IndividualActive
Ayana Jacob, PA-C
NPI 1679467484 · Physician Assistant · Newington, CT
Provider details
- NPI number
- 1679467484
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Mailing address
53 Burdon Ln
Newington, CT 06111-2715
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.