Healthcare Provider Details

I. General information

NPI: 1902738701
Provider Name (Legal Business Name): REBECCA DUFF FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 POST RD
EAST GREENWICH RI
02818-2139
US

IV. Provider business mailing address

1524 ATWOOD AVE STE 110
JOHNSTON RI
02919-3228
US

V. Phone/Fax

Practice location:
  • Phone: 401-398-8760
  • Fax: 401-398-8767
Mailing address:
  • Phone: 401-274-2910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN05320
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN67067
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: