Iannuccilli, Jenna Marie

Iannuccilli, Jenna Marie is an individual health care provider with primary practice located at 400 Massasoit Ave Ste 300 , East Providence RI 02914-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Iannuccilli, Jenna Marie can be contacted via phone (401) 434-2704.

Contact Information

Primary practice address
400 Massasoit Ave Ste 300 East Providence RI 02914-2012
Phone: (401) 434-2704
Fax: (401) 434-4054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LP03816 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD16838 Rhode Island

Profile Details

NPI number 1609229798
LBN Legal business name Iannuccilli, Jenna Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2016
Last updated Jan 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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