Individual
MRS. JILL LESLIE DUBOFF-JACOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 TALCOTT NOTCH RD, FARMINGTON, CT 06032-1800
(860) 679-6700
(860) 679-6736
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000800
CT
Other
Enumeration date
11/23/2005
Last updated
05/01/2013
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