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Contact Information

JEANNIE DILWORTH, APRN
642 HILLIARD ST STE 1315
MANCHESTER, CT06042-2700
 Phone: 860-335-7221
 Fax: 833-901-3911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEANNIE DILWORTH · (Female)

NPI # 1265487425
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 05/24/2006
Last updated 07/27/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 001987
  • CT Medicaid 004253407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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