Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON SITTENAUER, MD
ActiveDR. JACKSON SITTENAUER, MD is a Military Health Care Provider healthcare provider located in PROVIDENCE, Rhode Island. NPI 1831688084 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · PROVIDENCE, RI
Registration Details
- NPI Number
- 1831688084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2018 (8.2572461708998 yrs)
- Last Updated
- Mar 23, 2024
- Licenses
-
0101267940 (VA)A193407 (CA)35.150161 (OH)E-17506 (AR)
Practice Information
- Address
-
593 EDDY STPROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 7852210744
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
- Additional Specialty
- Student (Health Education/Training)
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.