IndividualActive
Jennifer Bakkensen, M.D.
NPI 1548624943 · Reproductive Endocrinology Physician · Providence, RI
Provider details
- NPI number
- 1548624943
- Entity type
- Individual
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD18794 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
90 Plain St
Providence, RI 02903-4817
Phone: (401) 453-7500
Fax: (401) 453-7598
Approximate (ZIP-level) locationGet directions
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Additional practice locations (1)
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 274-1122
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.