Rockwell, Jeremy Tyler

Rockwell, Jeremy Tyler is an individual health care provider with primary practice located at 120 Webster St , Pawtucket RI 02861-1168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Rockwell, Jeremy Tyler can be contacted via phone (401) 335-5708.

Contact Information

Primary practice address
120 Webster St Pawtucket RI 02861-1168
Phone: (401) 335-5708
Fax: (401) 213-3274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8532 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN03667 Rhode Island

Profile Details

NPI number 1952942310
LBN Legal business name Rockwell, Jeremy Tyler
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated May 1st, 2024 - about 2 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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