Search › Rhode Island › 363LW0102X
Jelissa Neal, WHNP-BC
NPI 1265116412 · on the registry since 2023
Practice
- Address
- 175 Broad St
Providence, RI 02903 - Phone
- (401) 421-9620
- Organisation at this address
- Village Green Virtual Charter School
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 725 Albany St Fl 5, Boston, MA
- 840 Harrison Ave Fl 2, Boston, MA
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 363LW0102X
- Licence states on file
- MA, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island