JODINE WAUCHOPE NPI 1265913859

NPI Information

  • NPI: 1265913859
  • Provider Name: JODINE WAUCHOPE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1680 ALBANY AVE
    HARTFORD, CT
    ZIP 06105
  • Phone: (860) 236-4511

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NPI Details

Jodine Wauchope is a psychiatric/mental health nurse practitioner in Hartford, CT. Jodine Wauchope NPI is 1265913859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1680 ALBANY AVE
HARTFORD, CT
ZIP 06105-001
Phone: (860) 236-4511

The NPI 1265913859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 3/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent130661CONNECTICUTNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health11732CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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