NPI 1164351912

Srujana Pannem

Practitioner Registered Nurse Johnston, RI

Practice location

Address: 1443 Hartford Ave, Johnston, RI 02919-3224
Phone: (401) 273-8100
Mailing address: 52 Hilma St, Quincy, MA 02171-2727

Registered specialties (2)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 9518113 (MA)

Other Registered Nurse providers in Rhode Island →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 82198 (RI)

Registry record

NPI: 1164351912
Entity type: Individual
Sex (as registered): X
NPI issued: 18 May 2026
Record last updated: 18 May 2026

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.