Active NPIIndividual provider

Ms. Jennifer R Mammen, NP

Nurse Practitioner in Portsmouth, Rhode Island

NPI Number1154540243
Practice location
2444 E Main RD, Portsmouth, RI 02871-4025
Fax
—
Last updated
September 6, 2024

Jennifer R Mammen is a Nurse Practitioner based in Portsmouth, RI. Jennifer R Mammen practices in Portsmouth, RI and has the professional credentials of NP. The NPI Number for Jennifer R Mammen is 1154540243 and holds a License No. 335104 (NY). The current practice location address for Jennifer R Mammen is 2444 E Main RD, Portsmouth, RI 02871-4025 and can be reached out via phone at 401-683-4817.

Provider Profile Details

NPI Number
1154540243
Provider Name
Jennifer R Mammen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2444 E Main RD, Portsmouth, RI 02871-4025
Phone Number
401-683-4817
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2007
Last Update Date
September 6, 2024
Certification Date
September 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2444 E Main RD
Portsmouth, RI 02871-4025
Zip
02871-4025
Phone Number
401-683-4817
Portsmouth, RI 02871Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number (1)
335104
License State (1)
NY
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
APRN01824
License State (2)
RI
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jennifer R Mammen, NP?

The NPI number of Ms. Jennifer R Mammen, NP is 1154540243. It was assigned on April 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer R Mammen, NP?

Ms. Jennifer R Mammen, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number 335104.

Where does Ms. Jennifer R Mammen, NP practice?

The practice location is 2444 E Main RD, Portsmouth, RI 02871-4025. The office can be reached at 401-683-4817 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154540243 directly on the NPPES registry website.

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