| NPI | 1457816019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE JACQUES Owner 603-943-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-07-19 |