IndividualActive
Jessie Fong, ATC
NPI 1316457344 · Athletic Trainer · Providence, RI
Provider details
- NPI number
- 1316457344
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
229 Hope Street
Providence, RI 02912-7001
Phone: (401) 369-4406
Approximate (ZIP-level) locationGet directions
Mailing address
229 Hope Street Box 1932
Providence, RI 02912-7001
Additional practice locations (1)
- 1 Cunningham SqProvidence, RI 02918-7001Phone: (401) 865-1198
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.