Individual provider · Type 1 NPI

Jennifer Lou Landolt, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Old Lyme, CT

NPI number 1679734123 Active

Practice location

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Fax (877) 515-7147

Mailing address

232 E 26th, #3
New York, NY 10010

Other practice locations

  • 500 8th Ave, 3rd Floor, New York, NY 10018-6504 · (212) 904-1500

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X401083-1 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7709 (CT)

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

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About NPI 1679734123

Jennifer Lou Landolt, NURSE PRACTITIONER's National Provider Identifier is 1679734123, issued on Jun 18, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Old Lyme, CT. The record was last updated on Aug 2, 2018.