Healthcare Provider Details

I. General information

NPI: 1437396017
Provider Name (Legal Business Name): JO-ANN MARIE SARAFIN MS, RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2009
Last Update Date: 01/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DUDLEY ST SUITE 555
PROVIDENCE RI
02905-3236
US

IV. Provider business mailing address

110 LOCKWOOD ST SUITE 324
PROVIDENCE RI
02903-4801
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-3032
  • Fax: 401-444-3205
Mailing address:
  • Phone: 401-444-8807
  • Fax: 401-444-8781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37465
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: