Organization
JEANNIE DILWORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE DILWORTH APRN (PSYCHIATRIC NURSE PRACTITIONER/OWNE)
(860) 335-6834
Entity
Organization
Contact information
Practice address
642 HILLIARD ST STE 1315, MANCHESTER, CT 06042-2700
(860) 335-7221
(833) 901-3911
Mailing address
642 HILLIARD ST STE 1315, MANCHESTER, CT 06042-2700
(860) 335-6834
(833) 901-3911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001987
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008058819
—
CT
Enumeration date
04/28/2015
Last updated
07/27/2025
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