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Organization
OUR CLINIC
Active
Organization
OUR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA REEVES APRN (OWNER / NURSE PRACTITIONER)
(802) 490-3680
Entity
Organization
Contact information
Practice address
67 WINTER ST, KEENE, NH 03431-3324
(802) 490-3680
Mailing address
67 WINTER ST, KEENE, NH 03431-3324
(802) 490-3680
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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