Individual
MRS. JEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDOE
Contact information
Practice address
300 RICHMOND ST, SUITE 100, PROVIDENCE, RI 02903-4222
(401) 430-2173
(401) 453-7597
Mailing address
300 RICHMOND ST, SUITE 100, PROVIDENCE, RI 02903-4222
(401) 430-2173
(401) 453-7597
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN33192
RI
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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