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

Jaylen Evin Pennisson, DO

Individual provider Internal Medicine Physician · NPI 1942003595

Jaylen Evin Pennisson, DO is an Internal Medicine Physician in Warwick, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.

Licensed in
RI
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone: (401) 737-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LP06633 (RI)

Record details

NPI number1942003595
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 18, 2025
Mailing address455 Toll Gate Rd, Warwick, RI 02886-2759

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