Individual
EDYTA M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1208
(860) 679-2000
(860) 679-4515
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(866) 623-1110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6848
CT
Other
Enumeration date
11/03/2016
Last updated
01/28/2025
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