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

Jessica Lise Vercruysse, MD

Individual provider Emergency Medicine Physician · NPI 1033771126

Jessica Lise Vercruysse, MD is an Emergency Medicine Physician in Willimantic, Connecticut. Licensed in Connecticut and Michigan. Registered with an NPI since 2019.

Licensed in
CT, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (904) 265-6850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 70713 (CT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4351045618 (MI)

Record details

NPI number1033771126
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

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