Search › Connecticut › 2255A2300X

Amanda Jacobs

NPI 1386485167 · on the registry since 2024

Practice

Address
720 Pleasant St
Southington, CT 06489
Phone
(860) 628-3229
Fax
(860) 628-3397
Clinicians at this address
2

Additional practice sites

  • 98 Main St Ste 202, Southington, CT
  • 1615 Stanley St, New Britain, CT

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut