Individual
JORDAN DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 419-2543
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00812
RI
Other
Enumeration date
05/20/2015
Last updated
12/19/2019
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