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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER L MCCORMACK

Active Sole Proprietor

JENNIFER L MCCORMACK is a Case Management Agency healthcare provider located in PROVIDENCE, Rhode Island. NPI 1972252104 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · PROVIDENCE, RI

Registration Details

NPI Number
1972252104
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2022 (4.3599035044978 yrs)
Last Updated
Mar 23, 2022
Sole Proprietor
Yes

Practice Information

Address
1000 EDDY ST
PROVIDENCE, RI, 029054739
Browse RI providers · Browse ZIP 02905
Phone
4015339165
Fax
4015339105
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Providers in PROVIDENCE, RI

Name Credential NPI
MARIA E RODRIGUEZ CHW 1073378972
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.