| NPI | 1497980999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JAY NELSON Member 603-617-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 0355392303) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |