NPI 1053351403

Caroline H. Jenckes, CRNP

Practitioner Nurse Practitioner Wakefield, RI

Practice location

Address: 100 Kenyon Ave, Wakefield, RI 02879-4216
Phone: (401) 788-1590
Mailing address: PO Box 229, Wakefield, RI 02880-0229

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NPP22482 (RI)

Other Nurse Practitioner providers in Rhode Island →

Registry record

NPI: 1053351403
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2006
Record last updated: 20 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.