Active NPIIndividual providerSole proprietor

Jamie L Delacruz, AGNP

Nurse Practitioner, Gerontology in Warwick, Rhode Island

NPI Number1679104236
Practice location
475 Kilvert St, Warwick, RI 02886-1379
Fax
—
Last updated
December 15, 2024

Jamie Lee Delacruz is a Nurse Practitioner, Gerontology based in Warwick, RI. Jamie Lee Delacruz practices in Warwick, RI and has the professional credentials of AGNP. The NPI Number for Jamie Lee Delacruz is 1679104236 and holds a License No. APRN02245 (RI). The current practice location address for Jamie Lee Delacruz is 475 Kilvert St, Warwick, RI 02886-1379 and can be reached out via phone at 401-737-6900.

Provider Profile Details

NPI Number
1679104236
Provider Name
Jamie Lee Delacruz
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
475 Kilvert St, Warwick, RI 02886-1379
Phone Number
401-737-6900
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2020
Last Update Date
December 15, 2024
Certification Date
December 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Kilvert St
Warwick, RI 02886-1379
Zip
02886-1379
Phone Number
401-737-6900
Warwick, RI 02886Get directions →

Provider Business Mailing Address Details

Address
336 Princess Ave Apt Home
Cranston, RI 02920-6915
City
Cranston
State
RI
Zip
02920-6915
Phone Number
401-569-4691

License Information

License Number
APRN02245
License State
RI
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · 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 Jamie L Delacruz, AGNP?

The NPI number of Jamie L Delacruz, AGNP is 1679104236. It was assigned on January 31, 2020 and is currently active in the NPPES registry.

What is the specialty of Jamie L Delacruz, AGNP?

Jamie L Delacruz, AGNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number APRN02245.

Where does Jamie L Delacruz, AGNP practice?

The practice location is 475 Kilvert St, Warwick, RI 02886-1379. The office can be reached at 401-737-6900 (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 1679104236 directly on the NPPES registry website.

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