Individual
AMANDA JIN-CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 COLLYER ST STE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
(401) 453-9078
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023020157
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03682
RI
Other
Enumeration date
06/02/2023
Last updated
03/10/2026
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