Healthcare Provider Details

I. General information

NPI: 1831818251
Provider Name (Legal Business Name): JENNY LEE LINCOLN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1054 CASS AVE
WOONSOCKET RI
02895-4935
US

IV. Provider business mailing address

1054 CASS AVE
WOONSOCKET RI
02895-4935
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 401-331-5240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03166
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: