Dr. James Mark Badger, PhD
Nurse Practitioner, Adult Health in Providence, RI. Individual provider (NPI-1).
NPI number1710169792
StatusActive
Last updated in NPPESMar 25, 2020
Details
- NPI
- 1710169792
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Mark Badger
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2007
- Certification date
- Mar 25, 2020
- Last updated
- Mar 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | APRN00898 | RI | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | PNS00001 | RI |
Practice location
593 Eddy StApc 948
Providence, RI 02903-4923
Phone 401-444-5480 · Fax 401-444-3492
Mailing address
117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone 401-444-6779 · Fax 401-444-6912
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