Healthcare Provider Details

I. General information

NPI: 1750548665
Provider Name (Legal Business Name): JEINY ZAPATA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 MOUNT PLEASANT AVE
PROVIDENCE RI
02908-3302
US

IV. Provider business mailing address

375 ALLENS AVE
PROVIDENCE RI
02905-5010
US

V. Phone/Fax

Practice location:
  • Phone: 888-612-7242
  • Fax: 401-444-0421
Mailing address:
  • Phone: 401-780-2511
  • Fax: 401-780-2565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00495
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: