Organization · Type 2 NPI
CJC LLC
Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI
NPI number
1104643436
Active
Practice location
11 George St Ste 1
Pawtucket, RI 02860-4097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104643436
CJC LLC's National Provider Identifier is 1104643436, issued on Sep 26, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pawtucket, RI. The record was last updated on Jan 21, 2026.