Individual
JESSIKA BRASSEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
50 BREWERY ST UNIT 9138, NEW HAVEN, CT 06511-5954
(203) 903-9797
(844) 440-2333
Mailing address
PO BOX 9138, NEW HAVEN, CT 06532-0138
(203) 903-9797
(844) 440-2333
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
113883
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750973152
NPI 2
—
Enumeration date
10/09/2015
Last updated
02/11/2025
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