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

Individual provider Acute Care Nurse Practitioner · NPI 1861915282

Jesmi K Stanislavose is a Nurse Practitioner in Farmington, Connecticut. Graduated from University of Connecticut School of Medicine in 2017, 9 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

18 Two Mile Rd
Farmington, CT 06032-2513
Phone: (860) 808-6286
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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 7091 (CT)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 7091 (CT)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 7091 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 7091 (CT)

Record details

NPI number1861915282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESApril 10, 2018
Mailing address18 Two Mile Rd, Farmington, CT 06032-2513

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Farmington