Jewel Walters, MSN, APRN, PMHNP-BC | |
966 S Main St, Plantsville, CT 06479-1645 | |
(860) 863-1001 | |
Not Available |
Full Name | Jewel Walters |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 966 S Main St, Plantsville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811679160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 128640 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12361 (Connecticut) | Primary |
Entity Name | Shoreline Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609177815 PECOS PAC ID: 9335399484 Enrollment ID: O20121025000456 |
Entity Name | Central Connecticut Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043666480 PECOS PAC ID: 1951692706 Enrollment ID: O20160624001721 |
Entity Name | Shoreline Wellness Behavioral Health Outreach Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144723305 PECOS PAC ID: 1951796119 Enrollment ID: O20220325000121 |
Mailing Address | Practice Location Address |
---|---|
Jewel Walters, MSN, APRN, PMHNP-BC 110 Osborn Ave, New Haven, CT 06511-2804 Ph: (475) 238-0639 | Jewel Walters, MSN, APRN, PMHNP-BC 966 S Main St, Plantsville, CT 06479-1645 Ph: (860) 863-1001 |
Janna Corbelle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Main St Ste 1, Plantsville, CT 06479 Phone: 860-276-8453 | |
Emily F Florian-tynan, CNS APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Cornerstone Court #3, Plantsville, CT 06479 Phone: 860-426-2412 Fax: 860-426-2412 | |
Laura L Tyler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Main St Bldg 4, Plantsville, CT 06479 Phone: 860-378-2891 | |
Mrs. Jaclyn Miller, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Main St Bldg 1, Plantsville, CT 06479 Phone: 860-276-8453 | |
Kristina Leigh Benoit, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Main St Bldg 4, Plantsville, CT 06479 Phone: 860-378-2891 | |
Kerryann Daley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Main St Bldg 1, Plantsville, CT 06479 Phone: 860-276-8453 | |
Mrs. Tiffany M Nieves, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-736-5386 |