Dimuccio, Jacquelynn M

Dimuccio, Jacquelynn M is an individual health care provider with primary practice located at 1150 Reservoir Ave Ste 203 , Cranston RI 02920-6043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dimuccio, Jacquelynn M can be contacted via phone (401) 259-0340.

Contact Information

Primary practice address
1150 Reservoir Ave Ste 203 Cranston RI 02920-6043
Phone: (401) 259-0340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01239 Rhode Island

Profile Details

NPI number 1275155574
LBN Legal business name Dimuccio, Jacquelynn M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2020
Last updated Oct 6th, 2020 - about 5 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.

Request for update

Popular Providers