Jennifer Wishtischin, | |
528 N Main St, Providence, RI 02904-5757 | |
(401) 528-0123 | |
Not Available |
Full Name | Jennifer Wishtischin |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
Location | 528 N Main St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568839355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | APRN00717 (Rhode Island) | Primary |
Entity Name | Delta Consultants Of South County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194877621 PECOS PAC ID: 8426063553 Enrollment ID: O20060210000553 |
Mailing Address | Practice Location Address |
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Jennifer Wishtischin, 528 N Main St, Providence, RI 02904-5757 Ph: () - | Jennifer Wishtischin, 528 N Main St, Providence, RI 02904-5757 Ph: (401) 528-0123 |
Ms. Laura Beth Chalk, PCNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 208 Governor St Fl 2, Providence, RI 02906 Phone: 401-383-4848 Fax: 401-383-4811 | |
Joan Mende Walsh, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-639-2933 | |
Linda Marie Mcbride, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Francine Pingitore, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5636 | |
Sally Harrison, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 16 Stimson Ave, Providence, RI 02906 Phone: 401-465-3362 Fax: 401-331-7575 | |
Kristen Marie Burton-williams, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-2504 | |
Janet Campbell Cameron, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 Fax: 401-457-3326 |