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Contact Information

JENNIFER DEROSSI DACOSTA, RN,CDE,CDOE
111 BREWSTER STREET
CNEMG PRIMARY CARE AND SPECIALTY SERVICES
PAWTUCKET, RI02860-4474
 Phone: 401-729-2238
 Fax: 401-729-2923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for JENNIFER DEROSSI DACOSTA · (Female)

NPI # 1063883270
Status Active
Credentials RN,CDE,CDOE
Entity Individual
Enumeration date 10/14/2015
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • RI License # RN51935
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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