Individual provider · Type 1 NPI

Jaclyn Marie Vitkovsky

Psychiatric/Mental Health Nurse Practitioner · Torrington, CT

NPI number 1508472259 Active

Practice location

503 New Harwinton Rd
Torrington, CT 06790-5845

Call (914) 552-2868 Map

Mailing address

79 Woodside Ct
Watertown, CT 06795-1152

Other practice locations

  • 167 Cherry St # 101, Milford, CT 06460-3466 · (203) 524-2000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X107346 (CT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X9168 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508472259

Jaclyn Marie Vitkovsky's National Provider Identifier is 1508472259, issued on Sep 18, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Torrington, CT. The record was last updated on Nov 3, 2020.