institution
Jeannie Dilworth, Llc
Psychiatric/Mental Health Nurse Practitioner in South Windsor, Connecticut
NPI 1285011361

Jeannie Dilworth, Llc is a Psychiatric/Mental Health Nurse Practitioner based in South Windsor, CT and is specialized in Psychiatric/Mental Health. Jeannie Dilworth, Llc practices in South Windsor, CT. The NPI Number for Jeannie Dilworth, Llc is 1285011361 and holds a License No. 001987 (Connecticut).

The current practice location address for Jeannie Dilworth, Llc is 925 Sullivan Ave, South Windsor, CT and can be reached out via phone at 860-432-7771 and via fax at 860-432-7774.

Location: 925 Sullivan Ave, South Windsor, CT, 06074-2025
institution
Provider Profile Details
NPI Number
1285011361
Provider Name
Jeannie Dilworth, Llc
Credential
Provider Entity Type
Organization
Address
925 Sullivan Ave, South Windsor, CT, 06074-2025
Phone Number
860-432-7771
Fax Number
860-432-7774
Provider Enumeration Date
04/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008058819 05 CT
institution
Provider Business Practice Location Address Details
Address
925 Sullivan Ave
City
State
Zip
06074-2025
Phone Number
860-432-7771
Fax Number
860-432-7774
person
Provider Business Mailing Address Details
Address
925 Sullivan Ave
City
State
Zip
06074-2025
Phone Number
860-432-7771
Fax Number
860-432-7774
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
001987 (Connecticut)
Definition
Definition to come...
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