Individual
JENNA RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
800 CLINTON ST, WOONSOCKET, RI 02895-3245
(401) 874-9711
Mailing address
800 CLINTON ST, WOONSOCKET, RI 02895-3245
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023209163
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN57555
RI
Other
Enumeration date
01/23/2023
Last updated
09/13/2024
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