Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 202597 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD11425 | RI |
NPI | 1023012572 |
---|---|
Provider Name | Dr. Jennifer F Jarbeau |
First Address | Fairhaven, MA 02719-5252 |
Second Address | Warwick, RI 02886-6100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9003542 | (05) | RI |