JEANNIE DILWORTH LLC NPI 1285011361

NPI Information

  • NPI: 1285011361
  • Provider Name: JEANNIE DILWORTH, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 642 HILLIARD ST STE 1315
    MANCHESTER, CT
    ZIP 06042
  • Phone: (860) 335-7221

Map and Directions

Get Directions

NPI Details

JEANNIE DILWORTH, LLC is a psychiatric/mental health nurse practitioner in Manchester, CT. JEANNIE DILWORTH, LLC NPI is 1285011361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

642 HILLIARD ST STE 1315
MANCHESTER, CT
ZIP 06042-700
Phone: (860) 335-7221
Fax: (833) 901-3911

The provider's authorized official is Jeannie Dilworth .
The authorized official title is Psychiatric Nurse Practitioner/owne and has the following contact phone number (860) 335-6834.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 7/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health001987CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008058819MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI