Individual
JORDAN JUTRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
407 EAST AVE STE 120, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Mailing address
407 EAST AVE STE 120, PAWTUCKET, RI 02860-5299
(508) 816-1772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
02/28/2023
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