Individual
DAWN MARIE JENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
208 COLLYER ST, THORACIC AND CARDIOVASCULAR SURGICAL CENTER, PROVIDENCE, RI 02904-1560
(401) 350-3894
Mailing address
152 RODMAN LN, NORTH KINGSTOWN, RI 02852-7549
(401) 339-8145
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-00304
RI
Other
Enumeration date
12/05/2007
Last updated
11/30/2016
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