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Jeremy Booty, APRN
Psychiatric/Mental Health Nurse Practitioner in Norwich, Connecticut
NPI 1669877189

Jeremy Booty is a Psychiatric/Mental Health Nurse Practitioner based in Norwich, CT and is specialized in Psychiatric/Mental Health. 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 (Connecticut).

The current practice location address for Jeremy Booty is 47 Town St, Norwich, CT and can be reached out via phone at 860-892-7042. You can also correspond with Jeremy Booty through the mailing address at 47 TOWN ST, NORWICH, CT - 06360-2323 (mailing address contact number: 860-892-7042).

Location: 47 Town St, Norwich, CT, 06360-2323
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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
Fax Number
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008056298 05 CT
institution
Provider Business Practice Location Address Details
Address
47 Town St
City
State
Zip
06360-2323
Phone Number
860-892-7042
Fax Number
person
Provider Business Mailing Address Details
Address
47 Town St
City
State
Zip
06360-2323
Phone Number
860-892-7042
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5947 (Connecticut)
Definition
Definition to come...
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