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

Individual provider Family Medicine Physician · NPI 1013986140

Scott Jusseaume, MD is a Family Medicine Physician in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2006
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

450 Brook St
Providence, RI 02906-2231
Phone: (401) 863-3953
Fax: (401) 863-7953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD19533 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 216386 (MA)

Record details

NPI number1013986140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address450 Brook St, Providence, RI 02906-2231

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