NPI 1972252104

Jennifer L McCormack

Practitioner Case Management Agency Providence, RI

Practice location

Address: 1000 Eddy St, Providence, RI 02905-4739
Phone: (401) 533-9165
Fax: (401) 533-9105

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Rhode Island →

Registry record

NPI: 1972252104
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2022
Record last updated: 23 Mar 2022

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.