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Individual

JENNIFER R. SUNDERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1 WARREN WAY, PROVIDENCE, RI 02905-5000
(401) 444-0530
(401) 444-0423
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
271247
MA
367A00000X
Advanced Practice Midwife
Primary
CNM00121
RI

Other

Enumeration date
08/14/2007
Last updated
10/11/2024
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