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Contact Information

JERRI L JAFFA, RN, CDE
830 CHALKSTONE AVE
PROVIDENCE, RI02908-4734
 Phone: 401-273-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JERRI L JAFFA · (Female)

NPI # 1063642262
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 07/22/2009
Last updated 10/22/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • RI License # APRN01696
  • RI License # RN 27234
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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