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

Jordan Sonn Gervasio

Individual provider Family Nurse Practitioner · NPI 1063275139

Jordan Sonn Gervasio is a Family Nurse Practitioner in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2024.

Licensed in
RI
In the registry since
2024

Practice location Address checks out

335R Prairie Ave Ste 1A
Providence, RI 02905-2426
Phone: (401) 444-5685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN03928 (RI)

Record details

NPI number1063275139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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