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NPI Code Detail

MEDICARE: JEANNE MARIE KNIGHT NP

MEDICARE: JEANNE MARIE KNIGHT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN01315RI
2364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPRN03070RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174588875
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE MARIE KNIGHT NP
Provider Business Mailing Address
First Line : DEPT 3010, PO BOX 986524
Second Line :
City : BOSTON
State : MA
Zip : 02298-6524
Country : US
Telephone Number : 401-443-4992
Fax Number : 401-537-7241
Provider Business Practice Location Address
First Line : 375 WAMPANOAG TRL
Second Line :
City : RIVERSIDE
State : RI
Zip : 02915-2232
Country : US
Telephone Number : 401-649-4000
Fax Number : 401-649-4011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 04/09/2024

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