Individual
JANE M CHANDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7571
Mailing address
455 TOLL GATE ROAD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
CAPRN01213
RI
208000000X
Pediatrics Physician
APRN01213
RI
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN01213
RI
363LP0200X
Pediatric Nurse Practitioner
APRN01213
RI
Other
Enumeration date
02/12/2008
Last updated
04/21/2026
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