Lisa Ellen Jacavone
RN/NP | Nurse Practitioner
830 Chalkstone Ave, Providence
Rhode Island, 02908-4734
401-273-7100
Lisa Ellen Jacavone is a Providence, Rhode Island based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Lisa Ellen Jacavone is RN2274406 for Acute Care in Massachusetts. Her current practice location is 830 Chalkstone Ave, Providence. Patients can reach her at 401-273-7100 or can fax her at 401-459-4797. Lisa Ellen Jacavone is RN/NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1801084751.
Lisa Ellen Jacavone has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa Ellen Jacavone speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa Ellen Jacavone |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | RN/NP |
| Practice Address: | 830 Chalkstone Ave, Providence,
Rhode Island, 02908-4734 |
| Phone: | 401-273-7100 |
| Fax: | 401-459-4797 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801084751 |
| NPI Enumeration Date: | 04 Oct, 2007 |
| NPI Last Update On: | 24 Jan, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Ellen Jacavone are as mentioned below.
| License Number | Specialization | State | Status | |
| RN2274406 | Acute Care | Massachusetts | Primary | |
| RN36765 | Registered Nurse | Rhode Island | Secondary | |
| NPP37867 | Acute Care | Rhode Island | Secondary | |
| APRN01777 | Primary Care | Rhode Island | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Ellen Jacavone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| APRN01777 | Other | Rhode Island | ADVANCED PRACTICE REGISTERED NURSE LICENSE |
| CNP2274406 | Other | Massachusetts | CERTIFIED NURSE PRACTITIONER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa Ellen Jacavone
830 Chalkstone Ave,
Providence, Rhode Island |
| Zip: | 02908-4734 |
| Phone Number: | 401-273-7100 |
| Fax Number: | 401-459-4797 |
Patients can reach Lisa Ellen Jacavone at
830 Chalkstone Ave, Providence, Rhode Island or can
call to book an appointment on 401-273-7100.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.