Individual provider · Type 1 NPI

Alexa Tomissa Grande, PA

Physician Assistant · North Providence, RI

NPI number 1417524745 Active

Practice location

115 Manchester Farm Rd
North Providence, RI 02904-3340

Other practice locations

  • 200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA01318 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417524745

Alexa Tomissa Grande, PA's National Provider Identifier is 1417524745, issued on Jun 7, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Providence, RI. The record was last updated on Apr 27, 2026.