Jessica Bali, RN
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Hartford, CT
NPI 1174987705 · NPPES record last updated Apr 10, 2016
Key facts
- NPI
- 1174987705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
- License
- 087982 (CT)
- Practice address
- 1680 Albany Ave
Hartford, CT 06105-1001 - Phone
- (860) 922-5191
- NPI assigned
- Apr 10, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087982 | CT | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 087982 | CT | Yes |
Addresses
Primary practice location
1680 Albany Ave
Hartford, CT 06105-1001
Mailing address
1680 Albany Ave
Hartford, CT 06105-1001
Other providers in Hartford, CT
- Patricia L. Balcom
- Rachel Baldick
- Laurel E Baldwin-Ragaven
- Katherine Rudich Baldwin
- Natane Baldwin
- Fiona Christina Ball
- Brandon Ballane
- Christopher Balsamo
- Nicole Alyssa Bambara
- Kenneth J Banasiak
All providers in Hartford, CT · Child & Adolescent Psychiatric/Mental Health Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.