Individual provider · Type 1 NPI
Lisa Ellen Jacavone, RN/NP
Acute Care Nurse Practitioner · Providence, RI
NPI number
1801084751
Active
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Fax (401) 459-4797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN36765 (RI) |
| Acute Care Nurse Practitioner | 363LA2100X | NPP37867 (RI) |
| Primary Care Nurse Practitioner | 363LP2300X | APRN01777 (RI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN2274406 (MA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1801084751
Lisa Ellen Jacavone, RN/NP's National Provider Identifier is 1801084751, issued on Oct 4, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Providence, RI. The record was last updated on Jan 24, 2023.