Derossi-Dacosta, Jennifer

Derossi-Dacosta, Jennifer is an individual health care provider with primary practice located at 111 Brewster Street Cnemg Primary Care And Specialty Services, Pawtucket RI 02860-4474. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Other Service Providers / Health Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Derossi-Dacosta, Jennifer can be contacted via phone (401) 729-2238.

Contact Information

Primary practice address
111 Brewster Street Cnemg Primary Care And Specialty Services Pawtucket RI 02860-4474
Phone: (401) 729-2238
Fax: (401) 729-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN51935 Rhode Island
Other Service Providers / Health Educator 174H00000X RN51935 Rhode Island

Profile Details

NPI number 1063883270
LBN Legal business name Derossi-Dacosta, Jennifer
Credentials RN,CDE,CDOE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Jan 22nd, 2020 - about 4 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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