Jacko, Marissa

Jacko, Marissa is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Jacko, Marissa can be contacted via phone (203) 688-3335.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-3335
Fax: (203) 688-3336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002773 Connecticut

Profile Details

NPI number 1740544709
LBN Legal business name Jacko, Marissa
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2012
Last updated Aug 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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