Active NPIIndividual provider

Amanda Jin-Corcoran

Nurse Practitioner, Family in Providence, Rhode Island

NPI Number1265125397
Practice location
195 Collyer St Ste 201, Providence, RI 02904-1869
Fax
401-453-9078
Last updated
March 10, 2026

Amanda Jin-Corcoran is a Nurse Practitioner, Family based in Providence, RI. Amanda Jin-Corcoran practices in Providence, RI. The NPI Number for Amanda Jin-Corcoran is 1265125397 and holds a License No. APRN03682 (RI). The current practice location address for Amanda Jin-Corcoran is 195 Collyer St Ste 201, Providence, RI 02904-1869 and can be reached out via phone at 401-272-7799 and via fax at 401-453-9078.

Provider Profile Details

NPI Number
1265125397
Provider Name
Amanda Jin-Corcoran
Provider Entity Type
Individual
Gender
Female
Address
195 Collyer St Ste 201, Providence, RI 02904-1869
Phone Number
401-272-7799
Fax Number
401-453-9078
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2023
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Collyer St Ste 201
Providence, RI 02904-1869
Zip
02904-1869
Phone Number
401-272-7799
Fax Number
401-453-9078
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
15 La Salle Sq
Providence, RI 02903-1814
City
Providence
State
RI
Zip
02903-1814
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number
APRN03682
License State
RI
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Amanda Jin-Corcoran?

The NPI number of Amanda Jin-Corcoran is 1265125397. It was assigned on June 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Amanda Jin-Corcoran?

Amanda Jin-Corcoran is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN03682.

Where does Amanda Jin-Corcoran practice?

The practice location is 195 Collyer St Ste 201, Providence, RI 02904-1869. The office can be reached at 401-272-7799 (phone) or 401-453-9078 (fax).

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 1265125397 directly on the NPPES registry website.

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