Individual
JACKLYN R GUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 224-2556
(603) 226-5821
Mailing address
2 SCHOOL HOUSE RD, LONDONDERRY, NH 03053-2677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119409A
—
MA
Enumeration date
11/08/2013
Last updated
01/23/2024
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