Individual
JENNIFER M. BERNACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
434 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908-3302
(888) 612-7242
(401) 444-0421
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
48552
RI
363LF0000X
Family Nurse Practitioner
7313
CT
363LF0000X
Family Nurse Practitioner
Primary
APRN01568
RI
Other
Enumeration date
08/28/2017
Last updated
08/31/2022
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