Most Relevant Information
Provider Data
| NPI Number: | 1003689019 |
| Provider Name: | JENNIFER BARGNESI |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2023 |
| Last Updated: | 11/01/2023 |
Provider Practice Location
610 MANTON AVE
PROVIDENCE
RI
029095633
Practice Location Phone/Fax
| Phone: | 4012746310 |
| Fax: |
Provider Mailing Location
610 MANTON AVE
PROVIDENCE
RI
029095633
Provider Mailing Phone/Fax
| Phone: | 4012746310 |
| Fax: |