Individual
MRS. JENNIFER THIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
125 GIDEON LAWTON LN, PORTSMOUTH, RI 02871-4066
(401) 440-0350
Mailing address
125 GIDEON LAWTON LN, PORTSMOUTH, RI 02871-4066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37624
RI
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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