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

Individual provider Nurse Practitioner · NPI 1699189621

Jacqueline Marie Dibble, APRN is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2014, 12 years ago. Practices with Cornell Scott Hill Health Corporation, a 258-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
2
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

20 York St Smilow Cancer Hospital North Pavilion 15th Fl
New Haven, CT 06510-3220
Phone: (203) 200-6615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5742 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5742 (CT)

Record details

NPI number1699189621
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESMarch 30, 2016
Mailing address20 York St, New Haven, CT 06510-3220

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cornell Scott Hill Health Corporation — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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