Individual
DR. NISHA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(844) 401-0111
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LP05728
RI
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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