JENNIFER BRESLAW


Address: 450 Clinton St, Woonsocket, RI 02895-3207
Phone: 4017674100

JENNIFER BRESLAW (NPI# 1821370396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821370396
Entity Type Individual
Full Name JENNIFER BRESLAW
Credential NP
Practice Address 450 Clinton St
Woonsocket
RI 02895-3207
Practice Telephone 4017674100
Practice Fax Number 4012356899
Mailing Telephone 4017674100
Mailing Fax Number 4012356899
Enumeration Date 2011-09-12
Last Update Date 2012-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NPP37633 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI JB86742 05

Office Location

Street Address 450 CLINTON ST
City WOONSOCKET
State RI
Zip Code 02895-3207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427024108 Robert Joseph Robbio Family Medicine 450 Clinton St, Woonsocket, RI 02895-3207 2006-02-23
1366056830 Thundermist Health Center Clinic/Center 450 Clinton St, Woonsocket, RI 02895-3207 2020-09-02
1447876206 Carine Marie Saint Felix Student in an Organized Health Care Education/Training Program 450 Clinton St, Woonsocket, RI 02895-3207 2020-06-17
1295361665 Lutdavone Kitta Kompradith Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2020-03-18
1639701659 Laura Tuscani Counselor 450 Clinton St, Woonsocket, RI 02895-3207 2020-02-07
1972153179 Maleny Fitzpatrick Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2019-09-19
1992355317 Sarah Eva Schwarzschild Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2019-09-17
1003463316 Kristen Ann Chapian Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2019-08-21
1679138481 Danielle Smith Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2019-05-07
1942777677 Amarpreet Kaur Gill Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2018-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730732017 Karissa Cardoso Behavior Technician 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 2019-07-16
1841714177 Richard Keith Polacek Behavioral Analyst 30 Cumberland St., Woonsocket, RI 02895 2017-07-28
1912353335 Muria Irine Nisbett Social Worker 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 2016-05-05
1083046833 Shaylyn Kathleen Mcteague Podiatrist 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 2013-08-04
1902243165 David J. Ward Dmd, PC Dentist 460 S. Main St., Woonsocket, RI 02895 2013-05-29
1073876256 Patricia J Corbett Social Worker 181 Cumberland St # 301, Woonsocket, RI 02895 2012-06-21
1114206521 Patricia Nievez Alvarez Social Worker 181 Cumberland St Ste 301, Woonsocket, RI 02895 2011-08-16
1891082970 Ann Katherine Maccarone Speech-Language Pathologist 1 Cumberland St., Woonoscket, RI 02895 2011-07-08
1043507734 Infectious Diseases Associates of Rhode Island Internal Medicine 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 2011-07-01
1740577543 Michelle Marie Durand Straube Optometrist 385 Mendon Road, Woonsocket, RI 02895 2011-06-30
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518021260 Donna M. Linke Nurse Practitioner 39832 233rd St, Woonsocket, SD 57385-6522 2006-12-20
1730705153 Healing Spirit Psychiatry & Counseling Nurse Practitioner 39832 233rd St, Woonsocket, SD 57385-6522 2020-06-22
1942777677 Amarpreet Kaur Gill Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2018-10-31
1235591835 Vanessa Campbell Krasinski Nurse Practitioner 450 Clinton St, Woonsocket, RI 02895-3207 2016-03-23
1023350485 Chanta Pou Nurse Practitioner 68 Cumberland St, Ste 102, Woonsocket, RI 02895-3300 2013-03-25
1477742088 Tomasso Montini Nurse Practitioner 245 Main St, Woonsocket, RI 02895-3123 2007-10-19

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1174149686 Goldline Health and Wellness LLC Nurse Practitioner 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 2020-06-20
1215562566 Katie Elizabeth Thayer Nurse Practitioner 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 2020-03-06
1477197820 Jaron Keough Nurse Practitioner 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 2019-10-29
1538622394 Partners In Psychiatry LLC Nurse Practitioner 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 2019-04-09
1356819908 Kellie Ferrie Nurse Practitioner 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 2018-11-12
1306326202 Samuel David Kaufman Nurse Practitioner 34 Rice Ave, E Providence, RI 02914-3147 2018-08-20
1205350980 Tabitha Ann Imondi Nurse Practitioner 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 2017-08-03
1366983314 Alyssa Pullan Nurse Practitioner 78 Courtney Ave, Pawtucket, RI 02861-3935 2017-03-10
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Competitor

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City WOONSOCKET
Zip Code 02895

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Dataset Information

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.

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