Individual
JENNIFER BENDER BAKKENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 453-7500
(401) 453-7598
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MD18794
RI
Other
Enumeration date
04/12/2016
Last updated
02/21/2025
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