| Ms Cheryl L Jacques, APRN | |
|
401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 | |
| (860) 859-4674 | |
| (860) 859-4790 |
| Full Name | Ms Cheryl L Jacques |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 39 Years |
| Location | 401 West Thames Street, Norwich, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700939998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 000761 APRN (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Change Counseling Llc | 9234564956 | 6 |
| Entity Name | Change Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780141465 PECOS PAC ID: 9234564956 Enrollment ID: O20200127000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cheryl L Jacques, APRN 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 Ph: (860) 859-4674 | Ms Cheryl L Jacques, APRN 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 Ph: (860) 859-4674 |
Mafe Duyan Rato, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 W West Main St, St 140, Norwich, CT 06360 Phone: 860-200-8098 | |
Meagan Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 W Main St, Norwich, CT 06360 Phone: 860-887-5970 | |
Mrs. Polina Verbitsky-havasov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 Fax: 860-886-0656 | |
John Kemp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Cliff St, Norwich, CT 06360 Phone: 860-887-6536 Fax: 860-823-3856 | |
Sarah Jean Robertson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Main St, Norwich, CT 06360 Phone: 860-889-1400 | |
Ms. Lindsay Anne Bizzaro, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 614-378-1802 | |
Jessica Banning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Lathrop Ave, Norwich, CT 06360 Phone: 860-204-0883 |