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

Suni Jacob, APRN

Individual provider Nurse Practitioner · NPI 1194709402

Suni Jacob, APRN is a Nurse Practitioner in Hamden, Connecticut. Qualified in 2005, 21 years ago. Practices with Family and Internal Medicine of Dixwell Avenue, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2005
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

2543 Dixwell Ave
Hamden, CT 06514-1860
Phone: (203) 230-4160
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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 003301 (CT)

Record details

NPI number1194709402
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address161 Rochela Dr, Southington, CT 06489-4671

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Family And Internal Medicine Of Dixwell Avenue — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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