Individual
MS. JACQUELINE LEE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVENUE, PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3345
Mailing address
830 CHALKSTONE AVENUE, PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3345
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
21310
RI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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