Ms. Jennifer L Landolt, NURSE PRACTITIONER
Nurse Practitioner, Psych/Mental Health in Old Lyme, Connecticut
1679734123- Practice location
- 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
- Phone
- 800-370-3651
- Fax
- 877-515-7147
- Last updated
- August 2, 2018
Jennifer Lou Landolt is a Nurse Practitioner, Psych/Mental Health based in Old Lyme, CT. Jennifer Lou Landolt practices in Old Lyme, CT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Jennifer Lou Landolt is 1679734123 and holds a License No. 401083-1 (NY). The current practice location address for Jennifer Lou Landolt is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534 and can be reached out via phone at 800-370-3651 and via fax at 877-515-7147.
Provider Profile Details
- NPI Number
- 1679734123
- Provider Name
- Jennifer Lou Landolt
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
- Phone Number
- 800-370-3651
- Fax Number
- 877-515-7147
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2008
- Last Update Date
- August 2, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Hatchetts Hill RD
Old Lyme, CT 06371-1534 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1534
- Phone Number
- 800-370-3651
- Fax Number
- 877-515-7147
Provider Business Mailing Address Details
- Address
- 232 E 26TH
#3
New York, NY 10010 - City
- New York
- State
- NY
- Zip
- 10010
- Phone Number
- 646-284-7282
License Information
- License Number (1)
- 401083-1
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 7709
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Jennifer L Landolt, NURSE PRACTITIONER?
The NPI number of Ms. Jennifer L Landolt, NURSE PRACTITIONER is 1679734123. It was assigned on June 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Jennifer L Landolt, NURSE PRACTITIONER?
Ms. Jennifer L Landolt, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 401083-1.
Where does Ms. Jennifer L Landolt, NURSE PRACTITIONER practice?
The practice location is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534. The office can be reached at 800-370-3651 (phone) or 877-515-7147 (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 1679734123 directly on the NPPES registry website.