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

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