Individual
MRS. MOLLIE JEAN GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
129 CORNELL ST, CRANSTON, RI 02920-4005
(401) 374-5789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02155
RI
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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