Centracchio, Tessa Jude

Centracchio, Tessa Jude is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Centracchio, Tessa Jude can be contacted via phone (401) 444-6195.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 363LP0200X Rhode Island

Profile Details

NPI number 1982296992
LBN Legal business name Centracchio, Tessa Jude
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Jan 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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