Individual
JACOB VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
836 FARMINGTON AVE STE 109, WEST HARTFORD, CT 06119-1544
(203) 691-1685
(203) 891-6763
Mailing address
836 FARMINGTON AVE STE 109, WEST HARTFORD, CT 06119-1544
(203) 691-1685
(203) 891-6763
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
RN2309147
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14685
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2309147
MA
Other
Enumeration date
04/12/2022
Last updated
06/24/2025
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