JODI ELAINE VITA

PROVIDENCE, RI
NPI1467227082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN04052)
Additional Taxonomies163W00000X Registered Nurse
(Licence: RI  RN56723)
363L00000X Nurse Practitioner
(Licence: RI  APRN04052)
Enumeration Date2023-11-24
Last Update Date2024-12-06
Business Address
JODI ELAINE VITA
799 HOPE ST
PROVIDENCE, RI 02906-3635
Phone number: 866-389-2727
Mailing Address
JODI ELAINE VITA
799 HOPE ST
PROVIDENCE, RI 02906-3635
Phone number: 866-389-2727