Jennifer M Etue (NPI# 1639320013, PAC ID# 9335276484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1639320013 |
| PAC ID by PECOS | 9335276484 |
| Professional Enrollment ID | I20100421000197 |
| Full Name | Jennifer M Etue |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Address |
1 Randall Sq Providence RI 02904-2709 |
| Phone Number | 4012746339 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9335050962 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Randall Sq, Providence, RI 02904-2709 | 4012746339 | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R David | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Ekknoor K. Sahota | Internal Medicine | The Providence Community Health Centers Inc. | 100 Curtis St, Providence, RI 02909-3623 |
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Phina A Mayu | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Nadine S Hewamudalige | Family Medicine | The Providence Community Health Centers Inc. | 239 Cranston St, Providence, RI 02907-2406 |
| Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Sonal Patel | Family Medicine | The Providence Community Health Centers Inc. | 1 Warren Way, Providence, RI 02905-5000 |
| Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Street Address |
1 RANDALL SQ |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phina A Mayu | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Richard Watson | Ophthalmology | Massachusetts Eye and Ear Associates, Inc | 1 Randall Sq, Suite 203, Providence, RI 02904-2773 |
| Kely C Jeronimo | Physician Assistant | Rhode Island Medical Imaging | 1 Randall Sq, Providence, RI 02904-2709 |
| Gayge J Maggio | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Jennifer J Raney | Family Medicine | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| John Paul A Abroguena | Family Medicine | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Janelle M Bosse | Physician Assistant | Rhode Island Medical Imaging | 1 Randall Sq, Providence, RI 02904-2709 |
| Courtney L Jusino | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Cynthia B Stewart | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Ethan Prince | Diagnostic Radiology | Rhode Island Medical Imaging | 1 Randall Sq, Providence, RI 02904-2709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PROVIDENCE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jennifer M Etue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.