Active NPIIndividual provider

Jeremy Booty, APRN

Nurse Practitioner, Psych/Mental Health in Norwich, Connecticut

NPI Number1669877189
Practice location
47 Town St, Norwich, CT 06360-2323
Fax
—
Last updated
January 20, 2015

Jeremy Booty is a Nurse Practitioner, Psych/Mental Health based in Norwich, CT. Jeremy Booty practices in Norwich, CT and has the professional credentials of APRN. The NPI Number for Jeremy Booty is 1669877189 and holds a License No. 5947 (CT). The current practice location address for Jeremy Booty is 47 Town St, Norwich, CT 06360-2323 and can be reached out via phone at 860-892-7042.

Provider Profile Details

NPI Number
1669877189
Provider Name
Jeremy Booty
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
47 Town St, Norwich, CT 06360-2323
Phone Number
860-892-7042
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2014
Last Update Date
January 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Town St
Norwich, CT 06360-2323
Zip
06360-2323
Phone Number
860-892-7042
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
47 Town St
Norwich, CT 06360-2323
City
Norwich
State
CT
Zip
06360-2323
Phone Number
860-892-7042

License Information

License Number
5947
License State
CT
Taxonomy
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 Jeremy Booty, APRN?

The NPI number of Jeremy Booty, APRN is 1669877189. It was assigned on October 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Jeremy Booty, APRN?

Jeremy Booty, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 5947.

Where does Jeremy Booty, APRN practice?

The practice location is 47 Town St, Norwich, CT 06360-2323. The office can be reached at 860-892-7042 (phone).

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 1669877189 directly on the NPPES registry website.

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