Individual
MRS. JEANNIE MARIE URSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
119 MOUNTAINDALE RD, SMITHFIELD, RI 02917-2205
(401) 486-9249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37297
RI
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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