Individual
JENNIFER POILLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP-C
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 680-6502
(401) 455-6309
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04386
RI
363LF0000X
Family Nurse Practitioner
RN216727
MA
Other
Enumeration date
07/13/2015
Last updated
08/20/2025
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