Individual
JEANNETTE M SORACE-BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4112
Mailing address
44 GRINNELL AVE, TIVERTON, RI 02878-1902
(781) 234-4981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN254301
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01925
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN254301
MA
Other
Enumeration date
05/26/2015
Last updated
07/14/2025
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