Individual
JENNIFER L EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 441-5336
Mailing address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 441-5336
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD17109
RI
207VE0102X
Reproductive Endocrinology Physician
Primary
MD17109
RI
Other
Enumeration date
04/03/2007
Last updated
12/17/2021
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