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

Lisa Ellen Jacavone, RN/NP

Individual provider Registered Nurse · NPI 1801084751

Lisa Ellen Jacavone, RN/NP is a Registered Nurse in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2007
Specialties on file
4

Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
Fax: (401) 459-4797
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2274406 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN36765 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence NPP37867 (RI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN01777 (RI)

Record details

NPI number1801084751
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN/NP
Sole proprietorYes
NPI enumeratedOctober 4, 2007
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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