Provider Demographics
NPI:1952035008
Name:ROSENE DE BRITO, JESSICA ANNE (CD, LE, CBE, MT, YT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANNE
Last Name:ROSENE DE BRITO
Suffix:
Gender:F
Credentials:CD, LE, CBE, MT, YT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-3522
Mailing Address - Country:US
Mailing Address - Phone:978-376-8918
Mailing Address - Fax:
Practice Address - Street 1:201 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3522
Practice Address - Country:US
Practice Address - Phone:978-376-8918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula