Individual
JAMIE LEE DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
475 KILVERT ST, WARWICK, RI 02886-1379
(401) 737-6900
Mailing address
336 PRINCESS AVE APT HOME, CRANSTON, RI 02920-6915
(401) 569-4691
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN02245
RI
Other
Enumeration date
01/31/2020
Last updated
12/15/2024
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