LISA ELLEN JACAVONE RN/NP NPI 1801084751

NPI Information

NPI: 1801084751
Provider Name: LISA ELLEN JACAVONE, RN/NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
830 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908
Phone: (401) 273-7100
Get Directions

Lisa Ellen Jacavone, RN/NP is an acute care nurse practitioner in Providence, RI. Lisa Ellen Jacavone, RN/NP NPI is 1801084751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

830 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908-734
Phone: (401) 273-7100
Fax: (401) 459-4797

The NPI 1801084751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN36765	RHODE ISLAND	No
2	363LA2100X	Nurse Practitioner	Acute Care	NPP37867	RHODE ISLAND	No
3	363LP2300X	Nurse Practitioner	Primary Care	APRN01777	RHODE ISLAND	No
4	363LA2100X	Nurse Practitioner	Acute Care	RN2274406	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN01777	OTHER	RHODE ISLAND	ADVANCED PRACTICE REGISTERED NURSE LICENSE
2	CNP2274406	OTHER	MASSACHUSETTS	CERTIFIED NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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