Provider Demographics
NPI:1154500882
Name:FOX, MOLLY ANN (PA-C)
Entity type:Individual
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First Name:MOLLY
Middle Name:ANN
Last Name:FOX
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:012-732-9194
Practice Address - Street 1:1195 NORTH MAIN STREET
Practice Address - Street 2:CNEMG PRIMARY CARE WMC
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-0288
Practice Address - Country:US
Practice Address - Phone:401-736-4562
Practice Address - Fax:401-921-9864
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2025-02-14
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Provider Licenses
StateLicense IDTaxonomies
RIPA00451363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical