Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Antepenko

Individual provider Registered Nurse · NPI 1710763412

Jacqueline Antepenko is a Registered Nurse in Providence, Rhode Island. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4799
Phone: (401) 273-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2355554 (MA)

Record details

NPI number1710763412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address176 Reynolds Ave, Rehoboth, MA 02769-3015

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