Provider Demographics
NPI:1255509212
Name:CHANDLEY, JANE M (NP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:CHANDLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-5513
Mailing Address - Country:US
Mailing Address - Phone:401-556-4211
Mailing Address - Fax:
Practice Address - Street 1:20 GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-5513
Practice Address - Country:US
Practice Address - Phone:401-556-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01213208000000X
RICAPRN01213163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care