Individual provider · Type 1 NPI

Tessa Jude Centracchio, NP

Pediatric Nurse Practitioner · Providence, RI

NPI number 1982296992 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-6195 Map

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice locations

  • 164 Summit Ave, Providence, RI 02906-2894 · (401) 793-2500

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X363LP0200X (RI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1982296992

Tessa Jude Centracchio, NP's National Provider Identifier is 1982296992, issued on Feb 10, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Providence, RI. The record was last updated on Jan 3, 2023.