Individual
MR. JOSEPH FLYNN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-8385
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-8385
(401) 606-4173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2298927
MA
163W00000X
Registered Nurse
RN56721
RI
363LA2100X
Acute Care Nurse Practitioner
2298927
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN01505
RI
Other
Enumeration date
09/19/2016
Last updated
01/24/2022
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