Individual
ANNABEL JENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 RANDALL SQ, PROVIDENCE, RI 02904-2709
(401) 274-6339
(401) 453-6290
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95013786
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN02514
RI
Other
Enumeration date
06/13/2020
Last updated
08/18/2021
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