Healthcare Provider Details

I. General information

NPI: 1902553076
Provider Name (Legal Business Name): JAYNA NOREIKIS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 DALE RD STE 204
AVON CT
06001-4320
US

IV. Provider business mailing address

30 JORDAN LANE
WETHERSFIELD CT
06109-1278
US

V. Phone/Fax

Practice location:
  • Phone: 860-674-8830
  • Fax: 860-674-8984
Mailing address:
  • Phone: 860-845-0905
  • Fax: 860-263-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10438
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number010438
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: