Individual
JENNIFER GIATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 615-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01794
RI
363LF0000X
Family Nurse Practitioner
APRN01794
RI
Other
Enumeration date
08/22/2018
Last updated
12/18/2025
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