Individual
JORGE LUIS RESENDIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
57 POWER RD, CRANSTON, RI 02920-3046
(401) 462-7234
Mailing address
152 FINCH AVE, PAWTUCKET, RI 02860-2418
(857) 413-8128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN69709
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN05157
RI
Other
Enumeration date
12/01/2025
Last updated
05/15/2026
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