Individual
JELENA KUPCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Mailing address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN04758
RI
363LF0000X
Family Nurse Practitioner
RN2338113
MA
Other
Enumeration date
02/12/2024
Last updated
08/12/2025
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