Individual
JORDAN SONN GERVASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905-2426
(401) 444-5685
Mailing address
335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905-2426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03928
RI
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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