Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER DEROSSI-DACOSTA, RN,CDE,CDOE
ActiveDiabetes Educator Nurse · PAWTUCKET, RI
Registration Details
- NPI Number
- 1063883270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2015 (10.519227509882 yrs)
- Last Updated
- Jan 22, 2020
- Licenses
-
RN51935 (RI)RN51935 (RI)
Practice Information
- Address
-
111 BREWSTER STREETCNEMG PRIMARY CARE AND SPECIALTY SERVICESPAWTUCKET, RI, 028604474Browse RI providers · Browse ZIP 02860
- Phone
- 4017292238
- Fax
- 4017292923
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
- Additional Specialty
- Health Educator
Other Diabetes Educator Nurse Providers in PAWTUCKET, RI
| Name | Credential | NPI |
|---|---|---|
| MRS. MAUREEN DERMODY BOURIS | RN, CDE | 1710922851 |
| MR. MATTHEW DOMINIC MCSOLEY | R.N. | 1669535142 |
| MS. DONNA L NEWTON | RN CDOE | 1669689147 |
| JILL TAORMINA | R.N. | 1982022208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.