Individual provider · Type 1 NPI

Jake Petillo

Nurse Practitioner · New Britain, CT

NPI number 1982474482 Active

Practice location

100 Grand St
New Britain, CT 06052-2016

Call (860) 224-5011 Map

Mailing address

245 W Center St
Southington, CT 06489-3550

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X12761 (CT)

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 1982474482

Jake Petillo's National Provider Identifier is 1982474482, issued on Jan 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Britain, CT. The record was last updated on Jan 5, 2024.