-- JENNA BOUTILIER -- NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1154657443- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 106 NATE WHIPPLE HWY SUITE 101, CUMBERLAND, RI, 028641403
- Phone
- (401) 658-2020
- Fax
- (401) 658-3612
Specialties & Taxonomies
Nurse Practitioner
Primary License: RI #NPP37529