Active NPIIndividual providerSole proprietor

Jeannie Dilworth, APRN

Nurse Practitioner, Psych/Mental Health in Manchester, Connecticut

NPI Number1265487425
Practice location
642 Hilliard St Ste 1315, Manchester, CT 06042-2700
Fax
833-901-3911
Last updated
July 27, 2025

Jeannie Dilworth is a Nurse Practitioner, Psych/Mental Health based in Manchester, CT. Jeannie Dilworth practices in Manchester, CT and has the professional credentials of APRN. The NPI Number for Jeannie Dilworth is 1265487425 and holds a License No. 001987 (CT). The current practice location address for Jeannie Dilworth is 642 Hilliard St Ste 1315, Manchester, CT 06042-2700 and can be reached out via phone at 860-335-7221 and via fax at 833-901-3911.

Provider Profile Details

NPI Number
1265487425
Provider Name
Jeannie Dilworth
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
642 Hilliard St Ste 1315, Manchester, CT 06042-2700
Phone Number
860-335-7221
Fax Number
833-901-3911
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2006
Last Update Date
July 27, 2025
Certification Date
July 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
642 Hilliard St Ste 1315
Manchester, CT 06042-2700
Zip
06042-2700
Phone Number
860-335-7221
Fax Number
833-901-3911
Manchester, CT 06042Get directions →

Provider Business Mailing Address Details

Address
642 Hilliard St Ste 1315
Manchester, CT 06042-2700
City
Manchester
State
CT
Zip
06042-2700
Phone Number
860-335-6834
Fax Number
833-901-3911

License Information

License Number (1)
001987
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
001987
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeannie Dilworth, APRN?

The NPI number of Jeannie Dilworth, APRN is 1265487425. It was assigned on May 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Jeannie Dilworth, APRN?

Jeannie Dilworth, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 001987.

Where does Jeannie Dilworth, APRN practice?

The practice location is 642 Hilliard St Ste 1315, Manchester, CT 06042-2700. The office can be reached at 860-335-7221 (phone) or 833-901-3911 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265487425 directly on the NPPES registry website.

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