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Individual

MS. JOYCE CHISHOLM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
101 BACON ST, GATEWAY HEALTHCARE INC, PAWTUCKET, RI 02860
(401) 722-3560
(401) 724-3120
Mailing address
249 ROOSEVELT AVENUE, STE 205, GATEWAY HEALTHCARE INC, PAWTUCKET, RI 02860
(401) 724-8400
(401) 365-1100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23212
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JC03968
RI
Enumeration date
05/17/2006
Last updated
07/08/2007
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