person
Wylie Jerome Dassie IV, APRN
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1225708670

Wylie Jerome Dassie IV is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Wylie Jerome Dassie IV practices in Providence, RI and has the professional credentials of APRN. The NPI Number for Wylie Jerome Dassie IV is 1225708670 and holds a License No. (Rhode Island).

The current practice location address for Wylie Jerome Dassie IV is 350 Eddy St, Providence, RI and can be reached out via phone at 401-874-9711.

Location: 350 Eddy St, Providence, RI, 02903-4202
person
Provider Profile Details
NPI Number
1225708670
Provider Name
Wylie Jerome Dassie IV
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
350 Eddy St, Providence, RI, 02903-4202
Phone Number
401-874-9711
Fax Number
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 Eddy St
City
State
Zip
02903-4202
Phone Number
401-874-9711
Fax Number
person
Provider Business Mailing Address Details
Address
350 Eddy St
City
State
Zip
02903-4202
Phone Number
401-874-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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