Jessica L Chabot
Physician Assistant in Providence, RI. Individual provider (NPI-1).
NPI number1982194023
StatusActive
Last updated in NPPESOct 10, 2018
Details
- NPI
- 1982194023
- Entity type
- Individual (NPI-1)
- Name
- Jessica L Chabot
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Last updated
- Oct 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA01056 | RI | Yes |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4000
Mailing address
Po Box 9484Providence, RI 02940-9484
Phone 401-854-2500
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