| Doctor Name: | STEVEN PAUL JESKE |
| NPI Number: | 1033414867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 004592 |
| Business Practice Address: | 469 Migeon Ave Torrington, CT - 067904643 |
| Business Phone Number: | 8604823038 |
| Business Fax Number: | 8604893325 |
| Mailing Address: | 503 Wolcott Rd, Ste 3 WOLCOTT |
| State: | CT |
| Postal Code: | 067162673 |
| Phone Number: | 8604823038 |
| Fax Number: | 8604893325 |
| NPI Enumeration Date: | 01/26/2011 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 004592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |