Individual
MS. JENNIFER RACHAEL FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-4800
Mailing address
PO BOX 202230, DALLAS, TX 75320-2230
(401) 274-4800
(401) 454-0410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04393
RI
Other
Enumeration date
01/14/2025
Last updated
10/15/2025
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