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General NPI Number Information
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NPI Number | 1548885635
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Entity Type | Individual
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Provider Name | JENNY B QUILTY NP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2 DUDLEY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-3236
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Country | US
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Telephone | 401-274-1122
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Fax | 401-453-7684
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD PRC AND CREDENTIALING
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-273-0641
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209.021586
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2335156
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 28263361A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN03935
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License Number State | RI
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