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

Jacqueline Elise, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710444195

Jacqueline Elise, APRN is a Nurse Practitioner in Orange, Connecticut. Graduated from Yale University School of Medicine in 2025, 1 year ago. Practices with Southbury Adolescent and Young Adult Counseling Center, a 15-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Trained at
Yale University School of Medicine
Licensed in
CT
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

400 W Campus Dr
Orange, CT 06477-3646
Phone: (612) 298-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 15039 (CT)

Record details

NPI number1710444195
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Southbury Adolescent And Young Adult Counseling Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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