Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn K Birn, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205353919

Jaclyn K Birn, FNP-C is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2800 Main St
Bridgeport, CT 06606-4201
Phone: (203) 576-6177
Fax: (203) 576-6146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7190 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence 7190 (CT)

Record details

NPI number1205353919
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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