Individual provider · Type 1 NPI

Jenna Racine, PMHNP-BC

Student in an Organized Health Care Education/Training Program · Woonsocket, RI

NPI number 1609582790 Active

Practice location

800 Clinton St
Woonsocket, RI 02895-3245

Call (401) 874-9711 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2023209163 (RI)
Student in an Organized Health Care Education/Training Program Primary 390200000XRN57555 (RI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609582790

Jenna Racine, PMHNP-BC's National Provider Identifier is 1609582790, issued on Jan 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woonsocket, RI. The record was last updated on Sep 13, 2024.