Physician Assistant
JENNA MUT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1891267779 · enumerated 2018-12-17 · record updated 2024-07-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 125 WHIPPLE ST STE 3, PROVIDENCE, RI, 02908-3258 Google Maps Apple Maps OpenStreetMap
- Practice location 593 EDDY STREET, CLAVERICK 2, PROVIDENCE, RI, 02903 (401) 444-4000 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA60923118 WA
- Physician Assistant 363A00000X · Primary · License PA01677 RI
Published links
In this directory
Locations and evidence
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Practice location
PROVIDENCE, RI, 02903
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.