Individual
JENNIFER S CELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CNP
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00039
RI
363LA2200X
Adult Health Nurse Practitioner
254037
RI
363LA2200X
Adult Health Nurse Practitioner
APRN00039
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN00039
RI
Other
Enumeration date
10/10/2007
Last updated
09/16/2019
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