Healthcare Provider Details

I. General information

NPI: 1023930450
Provider Name (Legal Business Name): JESLYN DINOWITZ DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 FARMINGTON AVE
WEST HARTFORD CT
06107-2106
US

IV. Provider business mailing address

1022 FARMINGTON AVE
WEST HARTFORD CT
06107-2105
US

V. Phone/Fax

Practice location:
  • Phone: 860-313-1119
  • Fax:
Mailing address:
  • Phone: 860-521-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17020
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: