Provider Demographics
NPI:1073736161
Name:NOEL, JANE S (RNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:S
Last Name:NOEL
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 HUDSON POND RD
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1958
Mailing Address - Country:US
Mailing Address - Phone:401-385-9072
Mailing Address - Fax:
Practice Address - Street 1:1087 WARWICK AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3545
Practice Address - Country:US
Practice Address - Phone:401-383-7100
Practice Address - Fax:401-383-7101
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI32235-5OtherBLUE CROSS
RI414262OtherBLUE CHIP
RIJN68857Medicaid
RI208419723OtherUNITED HEALTH
RI32235-5OtherBLUE CROSS
RI414262OtherBLUE CHIP