IndividualActive
Lisa Jacavone, RN/NP
NPI 1801084751 · Acute Care Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1801084751
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN/NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN36765 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
Fax: (401) 459-4797
Approximate (ZIP-level) locationGet directions
Mailing address
830 Chalkstone Ave
Providence, RI 02908-4734
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.