Individual
DR. JAMES MARK BADGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
593 EDDY ST, APC 948, PROVIDENCE, RI 02903-4923
(401) 444-5480
(401) 444-3492
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
PNS00001
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00898
RI
Other
Enumeration date
11/30/2007
Last updated
03/25/2020
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