Provider Demographics
NPI:1780404368
Name:DE OLIVEIRA, JESSICA SILVA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:SILVA
Last Name:DE OLIVEIRA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 RAMSEY AVE
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-2129
Mailing Address - Country:US
Mailing Address - Phone:203-598-6476
Mailing Address - Fax:
Practice Address - Street 1:60 RAMSEY AVE
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2129
Practice Address - Country:US
Practice Address - Phone:203-598-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT133817163W00000X
CT14020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse