National Provider Identifier
Lisa Ellen Jacavone, RN/NP
Lisa Ellen Jacavone, RN/NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Providence, RI and a listed phone number of (401) 273-7100.
Source: public NPPES record, last updated January 24, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1801084751
- Provider Type
- Individual
- Primary Specialty
- Acute Care Nurse Practitioner
- Enumeration Date
- October 04, 2007
- Last Updated
- January 24, 2023
Practice Location
- 830 Chalkstone Ave
- Providence, RI 02908-4734
Phone: (401) 273-7100
Specialties
- Acute Care Nurse Practitioner (363LA2100X)
- Primary Care Nurse Practitioner (363LP2300X)
- Registered Nurse (163W00000X)
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Biography
Lisa Jacavone, RN/NP, is a nurse practitioner in Providence, Rhode Island, with public practice records placing her at the Providence VA Medical Center, VA Providence Health Care’s main campus. Public sources did not surface a separate faculty, research, leadership, or board-certification profile, so her strongest supported professional detail is her connection to the VA Providence clinical setting.
Full Record
- NPI
- 1801084751
- Entity Type
- Individual
- Last Name
- Jacavone
- First Name
- Lisa
- Middle Name
- Ellen
- Credential
- RN/NP
- Mailing Street Address
- 830 Chalkstone Ave
- Mailing City
- Providence
- Mailing State
- RI
- Mailing ZIP Code
- 02908-4734
- Mailing Country
- US
- Mailing Phone
- (401) 273-7100
- Mailing Fax
- (401) 459-4797
- Practice Street Address
- 830 Chalkstone Ave
- Practice City
- Providence
- Practice State
- RI
- Practice ZIP Code
- 02908-4734
- Practice Country
- US
- Practice Phone
- (401) 273-7100
- Practice Fax
- (401) 459-4797
- Enumeration Date
- October 04, 2007
- Last Updated
- January 24, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 24, 2023
- Taxonomies
- Acute Care Nurse Practitioner (363LA2100X), Primary Care Nurse Practitioner (363LP2300X), Registered Nurse (163W00000X)
- Other Identifiers
- APRN01777 (RI, Advanced Practice Registered Nurse License), CNP2274406 (MA, Certified Nurse Practitioner)