Individual
JENNIFER WISHTISCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0123
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN00717
RI
Other
Enumeration date
08/27/2015
Last updated
11/16/2017
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