Individual provider · Type 1 NPI
Jacob Vicente, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · West Hartford, CT
NPI number
1316689078
Active
Practice location
836 Farmington Ave Ste 109
West Hartford, CT 06119-1544
Fax (203) 891-6763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | RN2309147 (MA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2309147 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14685 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1316689078
Jacob Vicente, DNP, PMHNP-BC's National Provider Identifier is 1316689078, issued on Apr 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Hartford, CT. The record was last updated on Jun 24, 2025.