Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Derossi-Dacosta, RN, CDE, CDOE

Individual provider Diabetes Educator Registered Nurse · NPI 1063883270

Jennifer Derossi-Dacosta, RN, CDE, CDOE is a Diabetes Educator Registered Nurse in Pawtucket, Rhode Island. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

111 Brewster Street Cnemg Primary Care And Specialty Services
Pawtucket, RI 02860-4474
Phone: (401) 729-2238
Fax: (401) 729-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 49 State Rd, North Dartmouth, MA 02747-3322 — (508) 973-2226

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence RN51935 (RI)
Health Educator Taxonomy 174H00000X · Licence RN51935 (RI)

Record details

NPI number1063883270
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CDE , CDOE
Sole proprietorNo
NPI enumeratedOctober 14, 2015
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

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