Individual
JILL ANN MCKENNA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
450 VETERANS MEMORIAL PKWY STE 7A, EAST PROVIDENCE, RI 02914-5315
(203) 880-5335
Mailing address
450 VETERANS MEMORIAL PKWY STE 7A, EAST PROVIDENCE, RI 02914-5315
(203) 880-5335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02562
RI
363LA2100X
Acute Care Nurse Practitioner
APRN02562
RI
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN02562
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02562
APRN LICENSE
RI
Enumeration date
04/23/2021
Last updated
09/15/2022
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