Individual
JACQUELYN M ARIETA
Active
Individual
JACQUELYN M ARIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
152166
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN00817
RI
363LF0000X
Family Nurse Practitioner
CAPRN00817
RI
363LF0000X
Family Nurse Practitioner
RN25654
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037810
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0799785
—
MA
01
—
31351-3
BCBSRI
RI
01
—
413415
BCBSRIBLUCHIP
RI
01
—
78089
CHILDRENS MEDICAL SECURIT
MA
01
—
NP2548
BCBSMA
MA
Enumeration date
10/04/2005
Last updated
10/19/2020
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