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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.

Location: 47 Town St, Norwich, CT, 06360-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Norwich
State
Connecticut
Zip
06360-2323
Phone Number
860-892-7042
Fax Number
person
Provider Business Mailing Address Details
Address
47 Town St
City
Norwich
State
Connecticut
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
363LP0808X
License No.
5947 (Connecticut)
Definition
Definition to come...
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