Provider Demographics
NPI:1619959988
Name:HESS, JACQUELINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:E
Last Name:HESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3760
Mailing Address - Country:US
Mailing Address - Phone:401-273-2356
Mailing Address - Fax:401-273-8913
Practice Address - Street 1:2005 BAY ST
Practice Address - Street 2:OCCUPATIONAL HEALTH SERVICE
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1085
Practice Address - Country:US
Practice Address - Phone:508-824-0242
Practice Address - Fax:508-828-1810
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI5838207R00000X
MA448822083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine