Individual
MRS. JANET BOWEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP
Contact information
Practice address
450 VETERANS MEMORIAL PARKWAY, #15, PROVIDENCE, RI 02914
(401) 228-2020
(401) 228-2026
Mailing address
450 VETERANS MEMORIAL PARKWAY, #15, PROVIDENCE, RI 02914
(401) 228-2020
(401) 228-2026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP16167
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JL28613
—
RI
Enumeration date
07/21/2006
Last updated
11/21/2013
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