LISA ELLEN JACAVONE

PROVIDENCE, RI
NPI1801084751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MA  RN2274406)
Additional Taxonomies163W00000X Registered Nurse
(Licence: RI  Rn36765)
363LA2100X Nurse Practitioner, Acute Care
(Licence: RI  NPP37867)
363LP2300X Nurse Practitioner, Primary Care
(Licence: RI  APRN01777)
Enumeration Date2007-10-04
Last Update Date2023-01-24
Business Address
LISA ELLEN JACAVONE RN/NP
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
LISA ELLEN JACAVONE RN/NP
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100