Individual
JILLIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
176 TOLL GATE RD STE 101, WARWICK, RI 02886-4479
(401) 737-9240
(401) 739-6413
Mailing address
55 CLAVERICK ST FL 2, PROVIDENCE, RI 02903-4144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01569
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01569
LICENSE
RI
Enumeration date
04/20/2017
Last updated
02/12/2026
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