Individual
JESSICA LAUREN WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
345 BLACKSTONE BLVD, DUNCAN E-160, BROWN PSYCHIATRY RESIDENCY PROGRAM, PROVIDENCE, RI 02906-4800
(401) 455-6375
Mailing address
345 BLACKSTONE BLVD, DUNCAN E-160, BROWN PSYCHIATRY RESIDENCY PROGRAM, PROVIDENCE, RI 02906-4800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LP03180
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP03180
RHODE ISLAND LICENSE
RI
Enumeration date
06/11/2014
Last updated
06/11/2014
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