Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 38485 | RI |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN00012 | RI |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN00012 | RI |
NPI | 1003213257 |
---|---|
Provider Name | Mrs. Jennifer Jennings |
First Address | Smithfield, RI 02917-2602 |
Second Address | Warwick, RI 02886-2759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2014 |
Last Update Date | 05/06/2019 |