Individual
DR. JENNIFER SOUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 MARTIN STREET, UNIT #30A, CUMBERLAND, RI 02864-5321
(401) 334-4500
(401) 312-0096
Mailing address
30 MARTIN STREET, UNIT #30A, CUMBERLAND, RI 02864-5321
(401) 334-4500
(401) 312-0096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10848
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02493
UNITED HEALTH CARE
RI
01
—
320874
BLUE CROSS/BLUE SHIELD
RI
01
—
409677
BLUE CHIP
RI
01
—
7133474
AETNA
RI
01
—
7468665
CIGNA
RI
01
—
AA242
HARVARD HEALTH PLAN
RI
01
—
P12001018
MULTIPLAN
RI
01
—
RI2966
ACHS NON-PAR
RI
Enumeration date
09/23/2005
Last updated
01/14/2008
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