Degraide, Jillian L.
Degraide, Jillian L. is an sole proprietor health care provider with primary practice located at 725 Reservoir Ave , Cranston RI 02910-4448. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Degraide, Jillian L. can be contacted via phone (401) 829-4446.Contact Information
Primary practice address
725 Reservoir Ave
Cranston RI 02910-4448
Phone: (401) 829-4446
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN03876 | Rhode Island |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN03876 | Rhode Island |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN03876 | Rhode Island |
Profile Details
NPI number | 1023885688 |
---|---|
LBN Legal business name | Degraide, Jillian L. |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2023 |
Last updated | Dec 22nd, 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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