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

Jenna Marie Iannuccilli, MD

Individual provider Internal Medicine Physician · NPI 1609229798

Jenna Marie Iannuccilli, MD is a Critical Care (Intensivists) in East Providence, Rhode Island. Qualified in 2016, 10 years ago. Practices with Prime Healthcare Services Landmark LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
10
Licensed in
RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Massasoit Ave Ste 300
East Providence, RI 02914-2012
Phone: (401) 434-2704
Fax: (401) 434-4054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2033

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD16838 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence LP03816 (RI)

Record details

NPI number1609229798
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Prime Healthcare Services Landmark Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Providence