Jayme Leigh Mickelson, D.O.

Internal Medicine Physician · Bristol, CT

Individual Active NPI

NPI number 1497989123

Practice location

22 Pine St
Bristol, CT 06010-6948
Phone
(860) 584-8291
Fax
(860) 581-8354

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NPI record

NPI
1497989123
Entity type
Individual (Type 1)
Enumeration date
May 9, 2009
Last updated
March 24, 2020
Certified
March 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 053732 CT
Internal Medicine Physician 207R00000X 55713 MN

Other practice locations (1)

  • 129 Patricia M Genova Dr, Newington, CT 06111-1543 · (860) 972-8100

About Dr. Mickelson

Jayme Leigh Mickelson, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 22 Pine St, Bristol, CT 06010-6948. The NPI number 1497989123 was assigned on May 9, 2009 and the record was last updated on March 24, 2020.

Dr. Mickelson lists 2 licenses in the registry: #053732 (CT) for Internal Medicine Physician; #55713 (MN) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jayme Leigh Mickelson, D.O.?

The NPI number is 1497989123.

What is the phone number of Dr. Mickelson?

The phone number listed for the practice location is (860) 584-8291.

Where is Dr. Mickelson located?

22 Pine St, Bristol, CT 06010-6948.

What is the taxonomy code for Dr. Mickelson?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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