Individual
DR. JACQUELINE A. BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
74 FRENCHTOWN RD, NORTH KINGSTOWN, RI 02852-1758
(401) 862-3072
Mailing address
195 CHESTNUT DR, EAST GREENWICH, RI 02818-2121
(401) 886-4349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00519
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007984
—
RI
Enumeration date
11/08/2006
Last updated
09/15/2014
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