Individual
KATHERINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(017) 934-1024
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2275203
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN03280
RI
363LC0200X
Critical Care Medicine Nurse Practitioner
R212778
MD
Other
Enumeration date
09/08/2014
Last updated
11/15/2024
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