Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER LOU LANDOLT, NURSE PRACTITIONER
ActiveMS. JENNIFER LOU LANDOLT, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in OLD LYME, Connecticut. NPI 1679734123 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · OLD LYME, CT
Registration Details
- NPI Number
- 1679734123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2008 (18.113708482991 yrs)
- Last Updated
- Aug 2, 2018
- Licenses
-
401083-1 (NY)7709 (CT)
Practice Information
- Address
-
55 HATCHETTS HILL RDOLD LYME, CT, 063711534Browse CT providers · Browse ZIP 06371
- Phone
- 8003703651
- Fax
- 8775157147
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.