Individual
JESSICA LEIGH LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
6 MEDIEVAL WAY, WEST WARWICK, RI 02893-5598
(401) 316-2124
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN01420
RI
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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