Individual
GRACE VIVIAN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
208 COLLYER ST STE 102, PROVIDENCE, RI 02904-1560
(401) 793-7191
Mailing address
208 COLLYER ST STE 102, PROVIDENCE, RI 02904-1560
(401) 606-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63508
RI
Other
Enumeration date
03/24/2026
Last updated
04/06/2026
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