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Individual
LISA ELLEN JACAVONE
Active
Individual
LISA ELLEN JACAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN36765
RI
363LA2100X
Acute Care Nurse Practitioner
NPP37867
RI
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2274406
MA
363LP2300X
Primary Care Nurse Practitioner
APRN01777
RI
Other
Enumeration date
10/04/2007
Last updated
01/24/2023
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