Provider Demographics
NPI:1285796037
Name:STENGEL, JO ANN R (RN, RNP)
Entity type:Individual
Prefix:MRS
First Name:JO ANN
Middle Name:R
Last Name:STENGEL
Suffix:
Gender:F
Credentials:RN, RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-4101
Mailing Address - Country:US
Mailing Address - Phone:401-849-2435
Mailing Address - Fax:
Practice Address - Street 1:308 CALLAHAN RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-7739
Practice Address - Country:US
Practice Address - Phone:401-295-9706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME49165OtherREGISTERED NURSE
MA257723OtherREGISTERED NURSE
RINPP37383OtherNURSE PRACTITIONER PRESCR
RIRN21853OtherREGISTERED NURSE