Individual
MS. JILL SUSAN IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
55 CHERRY LN STE 1B, WAKEFIELD, RI 02879-3617
(401) 284-4555
Mailing address
320 PROVIDENCE NEW LONDON TPKE, NORTH STONINGTON, CT 06359-1726
(401) 952-9422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02557
RI
Other
Enumeration date
01/21/2021
Last updated
11/07/2023
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