Individual provider · Type 1 NPI

Dawn Marie Jenison, PA-C

Surgical Physician Assistant · Providence, RI

NPI number 1194907790 Active

Practice location

208 Collyer St, Thoracic And Cardiovascular Surgical Center
Providence, RI 02904-1560

Call (401) 350-3894 Map

Mailing address

152 Rodman Ln
North Kingstown, RI 02852-7549

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-00304 (RI)

Surgical Physician Assistant: Definition to come...

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About NPI 1194907790

Dawn Marie Jenison, PA-C's National Provider Identifier is 1194907790, issued on Dec 5, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Providence, RI. The record was last updated on Nov 30, 2016.