Individual
JILL CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 CAMPUS DR, SUITE 12, PORTSMOUTH, NH 03801-5892
(603) 422-8208
(603) 422-8219
Mailing address
100 CAMPUS DR, SUITE 12, PORTSMOUTH, NH 03801-5892
(603) 422-8208
(603) 422-8219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
050227-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30342327
—
NH
Enumeration date
09/20/2006
Last updated
07/08/2007
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