IndividualActive
Dawn Jenison, PA-C
NPI 1194907790 · Surgical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1194907790
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA-00304 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
208 Collyer St
Thoracic and Cardiovascular Surgical Center
Providence, RI 02904-1560
Phone: (401) 350-3894
Approximate (ZIP-level) locationGet directions
Mailing address
152 Rodman Ln
North Kingstown, RI 02852-7549
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2016-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.