Vicente, Jacob

Vicente, Jacob is an individual health care provider with primary practice located at 836 Farmington Ave Ste 109 , West Hartford CT 06119-1544. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hemodialysis, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Vicente, Jacob can be contacted via phone (203) 691-1685.

Contact Information

Primary practice address
836 Farmington Ave Ste 109 West Hartford CT 06119-1544
Phone: (203) 691-1685
Fax: (203) 891-6763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hemodialysis 163WH0500X RN2309147 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2309147 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14685 Connecticut

Profile Details

NPI number 1316689078
LBN Legal business name Vicente, Jacob
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2022
Last updated Jun 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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