Individual provider · Type 1 NPI

Jamie Lee Delacruz, AGNP

Gerontology Nurse Practitioner · Warwick, RI

NPI number 1679104236 Active

Practice location

475 Kilvert St
Warwick, RI 02886-1379

Mailing address

336 Princess Ave Apt Home
Cranston, RI 02920-6915

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN02245 (RI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1679104236

Jamie Lee Delacruz, AGNP's National Provider Identifier is 1679104236, issued on Jan 31, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Warwick, RI. The record was last updated on Dec 15, 2024.