| NPI | 1154752392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRILYN N SULLIVAN Owner 603-882-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 1120493) |
| 111N00000X Chiropractor | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2023-04-26 |