Individual provider · Type 1 NPI

Jessica Divanno, CRNP

Nurse Practitioner · Sandy Hook, CT

NPI number 1477083996 Active

Practice location

43 Jo Mar Dr
Sandy Hook, CT 06482-1210

Fax (203) 240-8757

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP017375 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477083996

Jessica Divanno, CRNP's National Provider Identifier is 1477083996, issued on Jun 18, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sandy Hook, CT. The record was last updated on Jun 18, 2017.