Individual
JODI ELAINE VITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(866) 389-2727
Mailing address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56723
RI
363L00000X
Nurse Practitioner
APRN04052
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN04052
RI
Other
Enumeration date
11/24/2023
Last updated
12/06/2024
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