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Individual

JENA LERCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC, APRN

Contact information

Practice address
1130 TEN ROD RD STE E305, NORTH KINGSTOWN, RI 02852-4176
(401) 294-0451
Mailing address
1130 TEN ROD RD STE E305, N KINGSTOWN, RI 02852-4176
(401) 294-0451

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN70080
RI
163W00000X
Registered Nurse
RN9480080
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02871
RI

Other

Enumeration date
05/20/2021
Last updated
11/18/2021
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