Provider Demographics
NPI:1689648453
Name:ZABIT, JILL M (APRN)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:M
Last Name:ZABIT
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1625 STRAITS TPKE
Mailing Address - Street 2:SUITE #201
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1805
Mailing Address - Country:US
Mailing Address - Phone:203-573-9512
Mailing Address - Fax:203-568-2904
Practice Address - Street 1:1625 STRAITS TPKE
Practice Address - Street 2:SUITE #302
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1836
Practice Address - Country:US
Practice Address - Phone:203-759-0666
Practice Address - Fax:203-568-2919
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2017-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CTE52450163W00000X
CT001933363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S66975Medicare UPIN