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

Individual provider Family Medicine Physician · NPI 1922261353

Jensy Pulikamalil Stafford, MD is a Family Medicine Physician in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2008.

Licensed in
MA, RI
In the registry since
2008
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

1085 N Main St
Providence, RI 02904-5719
Phone: (401) 415-4242
Fax: (401) 312-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence 13939 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 246929 (MA)

Record details

NPI number1922261353
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESJuly 13, 2012

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