Individual
JENNA MENNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(917) 295-8510
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
DO00871
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2014
Last updated
12/02/2018
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