Jenna M Iannuccilli, MD
Internal Medicine in East Providence, Rhode Island
1609229798- Practice location
- 400 Massasoit Ave Ste 300, East Providence, RI 02914-2012
- Phone
- 401-434-2704
- Fax
- 401-434-4054
- Last updated
- January 19, 2021
Jenna Marie Iannuccilli is an Internal Medicine based in East Providence, RI. Jenna Marie Iannuccilli practices in East Providence, RI and has the professional credentials of MD. The NPI Number for Jenna Marie Iannuccilli is 1609229798 and holds a License No. LP03816 (RI). The current practice location address for Jenna Marie Iannuccilli is 400 Massasoit Ave Ste 300, East Providence, RI 02914-2012 and can be reached out via phone at 401-434-2704 and via fax at 401-434-4054.
Provider Profile Details
- NPI Number
- 1609229798
- Provider Name
- Jenna Marie Iannuccilli
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Massasoit Ave Ste 300, East Providence, RI 02914-2012
- Phone Number
- 401-434-2704
- Fax Number
- 401-434-4054
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2016
- Last Update Date
- January 19, 2021
- Certification Date
- January 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Massasoit Ave Ste 300
East Providence, RI 02914-2012 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-2012
- Phone Number
- 401-434-2704
- Fax Number
- 401-434-4054
Provider Business Mailing Address Details
- Address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - City
- Providence
- State
- RI
- Zip
- 02908-4728
License Information
- License Number (1)
- LP03816
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD16838
- License State (2)
- RI
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jenna M Iannuccilli, MD?
The NPI number of Jenna M Iannuccilli, MD is 1609229798. It was assigned on July 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Jenna M Iannuccilli, MD?
Jenna M Iannuccilli, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in RI under license number LP03816.
Where does Jenna M Iannuccilli, MD practice?
The practice location is 400 Massasoit Ave Ste 300, East Providence, RI 02914-2012. The office can be reached at 401-434-2704 (phone) or 401-434-4054 (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 1609229798 directly on the NPPES registry website.