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Individual

JENNIFER A. PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
39 SIMON ST STE 2A, NASHUA, NH 03060-3043
(603) 888-4347
Mailing address
39 SIMON ST STE 2A, NASHUA, NH 03060-3043
(603) 888-4347

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
067851-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
067851-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3092163
NH
Enumeration date
06/12/2013
Last updated
08/26/2021
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