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

Individual provider Physician Assistant · NPI 1407108558

Jacqueline Nicole Perez, PA is a Physician Assistant in Avon, Connecticut. Works from 2 locations. Licensed in Connecticut, Florida and Washington.

Licensed in
CT, FL, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

385 W Main St
Avon, CT 06001-4357
Phone: (860) 777-1280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 580 W 8th St, Jacksonville, FL 32209-6533 — (904) 244-3950

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4631 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 60363705 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA9106924 (FL)

Record details

NPI number1407108558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2012
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

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