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Contact Information

JENNIFER M BERNACHE, NP
434 MOUNT PLEASANT AVE
PROVIDENCE, RI02908-3302
 Phone: 888-612-7242
 Fax: 401-444-0421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for JENNIFER M BERNACHE · (Female)

NPI Number 1619494945
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/28/2017
Last updated 08/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 7313
  • RI License # 48552
  • RI License # APRN01568
Hospital affiliation(s)
  • DAY KIMBALL HOSPITAL - (Acute Care)
    320 POMFRET STREET
    PUTNAM, CT 06260
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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