Individual
ADELINA NICOLE JAKUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, FNP-BC
Contact information
Practice address
5 DAYTON RD STE 102, WATERFORD, CT 06385-4279
(860) 271-2400
Mailing address
5 DAYTON RD STE 102, WATERFORD, CT 06385-4279
(860) 271-2400
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
147591
CT
363LF0000X
Family Nurse Practitioner
Primary
10960
CT
363LF0000X
Family Nurse Practitioner
PENDING
CT
Other
Enumeration date
05/17/2022
Last updated
10/31/2022
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