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Janis A. Jaquez, PA

Physician Assistant · West Hartford, CT

UnclaimedPANPI 1215002779
Primary taxonomy
363AM0700X
Enumerated
2006-11-21
Practice location
West Hartford, CT
Last NPPES update
2012-05-23

State licenses

  • CT · Physician assistant · NPPES self-reportedListed on NPI record
  • CT · Physician assistant · Physician AssistantActivethrough 2027
  • CT · Radiologic technologist · RadiographerExpiredthrough 2012

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.