Individual
JENNIFER CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 667-6040
Mailing address
103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 667-6040
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN68658
RI
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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