Individual
JASON BOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 724-8400
(401) 722-5280
Mailing address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 724-8400
(401) 722-5280
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN49862
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
12/26/2013
Last updated
10/16/2015
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