Individual
JESSICA ANNA SANTANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7700
Mailing address
63 CHAREST LN, AGAWAM, MA 01001-3671
(413) 523-2169
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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