Individual provider · Type 1 NPI

Amanda Jin-Corcoran

Family Nurse Practitioner · Providence, RI

NPI number 1265125397 Active

Practice location

195 Collyer St Ste 201
Providence, RI 02904-1869

Fax (401) 453-9078

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN03682 (RI)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1265125397

Amanda Jin-Corcoran's National Provider Identifier is 1265125397, issued on Jun 2, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Mar 10, 2026.