Alice Jacob
NPI #1639705916 in West Warwick, Rhode Island
Provider Information
- NPI Number
- 1639705916
- Entity Type
- Individual
- Name
- Alice Jacob
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 18, 2020
- Last Updated
- Oct 7, 2021
Practice Location
- Address
- 186 PROVIDENCE ST
- City
- West Warwick
- State
- Rhode Island
- ZIP Code
- 02893-2508
- Phone
- (401) 615-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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