IndividualActive
Jennifer Mccormack
NPI 1972252104 · Case Management Agency · Providence, RI
Provider details
- NPI number
- 1972252104
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1000 Eddy St
Providence, RI 02905-4739
Phone: (401) 533-9165
Fax: (401) 533-9105
Mailing address
1000 Eddy St
Providence, RI 02905-4739
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.