Individual provider · Type 1 NPI

Joanna Boback, DNP, APRN, FNP, PMHNP

Family Nurse Practitioner · Bridgeport, CT

NPI number 1225720121 Active

Practice location

399 Mill Hill Ave
Bridgeport, CT 06610-2865

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X12028 (CT)
Family Nurse Practitioner Primary 363LF0000X12028 (CT)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1225720121

Joanna Boback, DNP, APRN, FNP, PMHNP's National Provider Identifier is 1225720121, issued on May 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 16, 2026.