JESSICA A DUNCAN (NPI# 1215304837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215304837 |
| Entity Type | Individual |
| Full Name | JESSICA A DUNCAN |
| Credential | NP-C |
| Practice Address |
180 Corliss St Ste B Providence RI 02904-2602 |
| Practice Telephone | 4017938400 |
| Practice Fax Number | 4017938402 |
| Mailing Telephone | 4017938400 |
| Mailing Fax Number | 4017938402 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN00729 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124616 | Jessica Christine Duncan | Occupational Therapist | 5511 Fishcreek Rd, Stow, OH 44224-1435 | 2020-08-16 |
| 1790293132 | Jessica Duncan | Counselor | 2944 Ray Weiland Dr, Baker, LA 70714-3250 | 2018-01-19 |
| 1356859052 | Jessica Alice Duncan | Massage Therapist | 2305 Se 50th Ave Ste 200, Portland, OR 97215-3853 | 2018-01-16 |
| 1558807354 | Jessica Brooks Duncan | Chiropractor | 405 Pharr Rd Ne, Atlanta, GA 30305-3200 | 2017-01-17 |
| 1104208453 | Jessica Duncan | Counselor | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2015-06-23 |
| 1518353119 | Jessica Duncan | Physical Therapist | 1 10th St, Augusta, GA 30901-0100 | 2015-04-09 |
| 1023440195 | Jessica W Duncan | Registered Nurse | 3222 Chestnut Hill School Rd, Dandridge, TN 37725-7238 | 2013-07-31 |
| 1740525047 | Jessica D Duncan | Nurse Practitioner | 2245 Winchester Ave, Ste 1, Ashland, KY 41101-7848 | 2012-11-28 |
| 1093091985 | Jessica Duncan | Pharmacist | 6701 Carnelian St, Rancho Cucamonga, CA 91701-4556 | 2011-10-24 |
| 1356582316 | Jessica Farrar Duncan | Internal Medicine | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2009-03-20 |
| Street Address |
180 CORLISS ST STE B |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438923 | Diane R Siedlecki | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1093201667 | Matthew Jacob Dacosta | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2018-07-07 |
| 1922470533 | Michael Elliot Whalen | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-10-21 |
| 1326267105 | Phyllis M Choquette | Social Worker | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2007-04-24 |
| 1144285859 | Walter J Goula | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-04-18 |
| 1144297698 | Karen A Sclama | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-03-03 |
| 1104819341 | Robyn M Ostapow | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-08-23 |
| 1972509636 | Caroline A Troise | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1639175482 | Heidi J Dorris | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1659377315 | Robert S Mathieu | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080832 | Michael Ellis Stern | Nurse Practitioner | 46 Barnes St, Providence, RI 02906-1502 | 2019-08-27 |
| 1184182263 | Stephanne Proske | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4799 | 2019-03-07 |
| 1962981357 | Erin Colleen Murphy Bernardo | Nurse Practitioner | 146 W River St, Providence, RI 02904-2609 | 2018-08-07 |
| 1851848154 | Chelsea Mcgovern | Nurse Practitioner | 712 Broad St, Providence, RI 02907-1465 | 2016-09-02 |
| 1932594892 | Margaret Duff | Nurse Practitioner | 593 Eddy St, Comprehensive Cancer Center, Providence, RI 02903-4923 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558244 | Constance Marie Ducharme | Nurse Practitioner | 966 Mineral Spring Ave, North Providence, RI 02904-4933 | 2020-01-28 |
| 1053896993 | Macrae Medical Associates | Nurse Practitioner | 333 Valley Rd Ste 4, Middletown, RI 02842-7230 | 2018-09-26 |
| 1578539151 | Cathleen Dee Jaderquist-bassett | Nurse Practitioner | 142a Danielson Pike, Foster, RI 02825-1485 | 2006-02-24 |
| 1528609690 | Olanrewaju Hakeem Baruwa | Nurse Practitioner | 198 Waterman Ave, East Providence, RI 02914-3523 | 2019-09-30 |
| 1265911556 | Elana Schwam | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-08-08 |
| 1639688450 | Olayide R Williams | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920 | 2017-09-25 |
| 1770970790 | Mikaela Andrea Lavallee | Nurse Practitioner | 1681 Cranston St, Cranston, RI 02920-5000 | 2015-04-16 |
| 1598156044 | Ashton Rechelle Long | Nurse Practitioner | 1126 Hartford Avenue, Johnston, RI 02919 | 2015-02-05 |
| 1760872220 | Cassandra Gaffney | Nurse Practitioner | 1150 Douglas Pike, Bryant University Health Services, Smithfield, RI 02917 | 2015-02-04 |
| 1558627927 | Lynne Haughey | Nurse Practitioner | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.