Individual provider · Type 1 NPI
Jodine Wauchope
Psychiatric/Mental Health Nurse Practitioner · Hartford, CT
NPI number
1265913859
Active
Practice location
1680 Albany Ave
Hartford, CT 06105-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 130661 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11732 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265913859
Jodine Wauchope's National Provider Identifier is 1265913859, issued on Aug 22, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hartford, CT. The record was last updated on Mar 9, 2023.