Individual
JENNIFER PINHANCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 626-3913
(401) 861-5812
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 626-3913
(401) 861-5812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00587
RI
363AS0400X
Surgical Physician Assistant
Primary
587
RI
363AS0400X
Surgical Physician Assistant
PA5075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JI84584
—
RI
Enumeration date
03/31/2011
Last updated
01/29/2016
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