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WYLIE JEROME DASSIE IV APRN
NPI 1225708670
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since September 16, 2021
350 EDDY ST, PROVIDENCE, RI 02903(401) 874-9711 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wylie Jerome Dassie Iv Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYLIE JEROME DASSIE IV APRN (NPI 1225708670) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1225708670
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWYLIE JEROME DASSIE IVCredential: APRN
Location Address350 EDDY STProvidence, RI 02903-4202
Mailing Address350 Eddy StProvidence, RI 02903-4202 · (401) 874-9711
Phone(401) 874-9711
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1225708670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 EDDY ST, Providence, RI 02903
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA HERRERA
Nurse Practitioner (Family)
350 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 874-9711
MS. PATRICIA LYNN CALVERT MSN, APRN, GCNS-BC,
Clinical Nurse Specialist (Gerontology)
350 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 456-6323
LAUREN ROSE SCHIAPPA MSN, APRN
Nurse Practitioner (Family)
350 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 874-9711
HANNAH R SMALL RN, BSN
Registered Nurse
350 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 874-9711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wylie Dassie's NPI number?

The NPI number for Wylie Dassie is 1225708670. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Wylie Dassie located?

Wylie Dassie practices at 350 Eddy St, Providence, RI 02903. The listed phone number is (401) 874-9711.

What is Wylie Dassie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Wylie Dassie was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.