Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYNN M DIMUCCIO, PA-C
ActiveJACQUELYNN M DIMUCCIO, PA-C is a Physician Assistant healthcare provider located in CRANSTON, Rhode Island. NPI 1275155574 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CRANSTON, RI
Registration Details
- NPI Number
- 1275155574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2020 (6.2663739198442 yrs)
- Last Updated
- Oct 6, 2020
- License
-
PA01239 (RI)
Practice Information
- Address
-
1150 RESERVOIR AVE STE 203CRANSTON, RI, 029206043Browse RI providers · Browse ZIP 02920
- Phone
- 4012590340
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CRANSTON, RI
| Name | Credential | NPI |
|---|---|---|
| SUSAN PITT | PA | 1194710350 |
| MR. MICHAEL JOHN MARTINO | PA-C | 1275507147 |
| ANDREW MACKO | PAC | 1477520906 |
| MRS. JENNIFER C MCGOLDRICK | PA | 1538122908 |
| MRS. STEPHANIE DADARIO LAHAISE I | PA | 1740210509 |
| CHRISTOPHER D SANDS | PA-C | 1508872615 |
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.