Provider Demographics
NPI:1184312506
Name:SABATINO, JESSICA-LEE (FNP)
Entity type:Individual
Prefix:
First Name:JESSICA-LEE
Middle Name:
Last Name:SABATINO
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1429
Mailing Address - Country:US
Mailing Address - Phone:860-394-9666
Mailing Address - Fax:
Practice Address - Street 1:41 N MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1929
Practice Address - Country:US
Practice Address - Phone:860-313-0448
Practice Address - Fax:860-313-1464
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT111611163W00000X
CT12056363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner