Lisa Ellen Jacavone in Providence - Primary Care
Lisa Ellen Jacavone - NPI 1801084751
Lisa Ellen Jacavone is a Primary Care in Providence, Rhode Island. Lisa Ellen Jacavone practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lisa Ellen Jacavone is 1801084751. The last update date is 2023-01-24.
Lisa Ellen Jacavone's current location address is 830 Chalkstone Ave, Providence, Rhode Island. You can contact this provider via phone number 4012737100 and fax number 4014594797. The mailing address for Lisa Ellen Jacavone is 830 Chalkstone Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ellen Jacavone |
|---|---|
| Address | 830 Chalkstone Ave, Providence, Rhode Island |
| Phone Number | 4012737100 |
| Fax Number | 4014594797 |
| Sole Proprietor | Y |
| Credentials | RN/NP |
NPI Number Detail
| NPI Number | 1801084751 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
| Address | 830 Chalkstone Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29084734 |
| Phone Number | 4012737100 |
| Fax Number | 4014594797 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | APRN01777 |
|
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| APRN01777 | RI | ADVANCED PRACTICE REGISTERED N | |
| CNP2274406 | MA | CERTIFIED NURSE PRACTITIONER |
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What is the Lisa Ellen Jacavone's unique identification number?
The Lisa Ellen Jacavone has been assigned the NPI (National Provider Identifier) Number 1801084751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lisa Ellen Jacavone's physical address?
The Lisa Ellen Jacavone is physically located at 830 Chalkstone Ave, in the city of Providence, RI, with the postal code 29084734.
What is Lisa Ellen Jacavone's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Ellen Jacavone's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 363Lp2300X.
When was the Lisa Ellen Jacavone's 1801084751 issued?
The Lisa Ellen Jacavone's 1801084751 was issued on 2007-10-04.
When was the Lisa Ellen Jacavone's information last updated?
The Lisa Ellen Jacavone's information was last updated on 2023-01-24.
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