# JEANNIE DILWORTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285011361
- **Authorized official:** JEANNIE DILWORTH APRN (PSYCHIATRIC NURSE PRACTITIONER/OWNE)
- **Authorized official phone:** (860) 335-6834

## Contact information

- **Practice address:** 642 HILLIARD ST STE 1315, MANCHESTER, CT 06042-2700
- **Practice address phone:** (860) 335-7221
- **Practice address fax:** (833) 901-3911
- **Mailing address:** 642 HILLIARD ST STE 1315, MANCHESTER, CT 06042-2700
- **Mailing address phone:** (860) 335-6834
- **Mailing address fax:** (833) 901-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 001987 | CT | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 07/27/2025