Provider Demographics
NPI:1811051857
Name:ALBRIKES, JACQUELINE ANN (NP)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:ANN
Last Name:ALBRIKES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:49 SEEKONK ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5176
Mailing Address - Country:US
Mailing Address - Phone:401-396-2227
Mailing Address - Fax:401-421-1120
Practice Address - Street 1:1526 ATWOOD AVE STE 220
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3289
Practice Address - Country:US
Practice Address - Phone:401-396-2227
Practice Address - Fax:401-421-1120
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00568363LA2200X
RINPP36643363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI405716OtherBLUE CHIP
RI30805-0OtherRIBC
RI30805-0OtherRIBC
RI500007937Medicare ID - Type UnspecifiedRAILROAD
RI007007180Medicare ID - Type Unspecified