Organization
MERCURIUS PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ADAM BENNETT PMHNP-BC (CEO/PRESIDENT)
(617) 866-7697
Entity
Organization
Contact information
Practice address
15 FOREST RD STE F, HANCOCK, NH 03449-6111
(617) 866-7697
Mailing address
15 FOREST RD STE F, HANCOCK, NH 03449-6111
(617) 866-7697
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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