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JEFFREY CHIV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4060
(401) 649-4061
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN00970
RI
363LF0000X
Family Nurse Practitioner
APRN00970
RI

Other

Enumeration date
08/25/2014
Last updated
02/29/2024
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