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Active NPI 1205604246 Individual Practitioner Female Practitioner

Sandra Paola Jackson , NURSE PRACTITIONER

Nurse Practitioner - Pediatrics • Norwalk, CT

Professional Overview & Biography Verified Profile Summary

Sandra Jackson, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Norwalk, CT. Practice services are available at 10 MOTT AVE STE 2A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Mott Ave Ste 2a

Norwalk, CT 068503320

Telephone 2038557551
Associated Practice Facility / Clinic
🏢 T.l.c. Pediatrics, Llc Facility NPI 1801073176

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Norwalk, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Norwalk, CT (426 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-20
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License CT 12560

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Suzanne Hines , APRN, FNP-C

Nurse Practitioner - Family

NPI 1194008466

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1386642932

Doctor of Medicine (M.D.), FAAP

Ingrid Pasten , LCSW

Social Worker - Clinical

NPI 1487131538

Licensed Clinical Social Worker

NPI 1669559951

Doctor of Medicine (M.D.), FAAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2023

Registered at 10 MOTT AVE STE 2A, NORWALK, CT 068503320 (Tel: 2038557551)

📍
Updated Business Mailing Address December 20, 2023

Registered at 10 MOTT AVE STE 2A, NORWALK, CT 068503320

👤
Provider Name / Credentials Updated December 20, 2023

Recorded as SANDRA JACKSON, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Nurse Practitioner (License #12560 in CT)

🟢
Initial NPI Registration & Enumeration December 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205604246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2023
Last Update: December 20, 2023
Sole Proprietor: No

Mailing Address

10 Mott Ave Ste 2a

Norwalk, CT 068503320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.