Individual
JENNIFER KAY CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAPRN
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1359
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1359
(401) 432-1500
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PPNS00067
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211412
UNITED BEHAVIORAL HEALTH
RI
01
—
21495-5
BLUE CROSS
RI
01
—
410333
BLUE CHIP
RI
05
—
JC47154
—
RI
Enumeration date
06/18/2006
Last updated
02/07/2008
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