Individual
JORDA DAIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, DH - EMERGENCY DEPT, LEBANON, NH 03756-1000
(603) 650-7254
(603) 650-4516
Mailing address
PO BOX 216, TOWNSHEND, VT 05353-0216
(802) 365-3756
(802) 365-3641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
031162-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP1858
—
VT
05
—
30340399
—
NH
05
—
3077758
—
NH
01
—
370052
MVP
VT
01
—
40Y007281NH01
ANTHEM NH
—
01
—
40Y007281NH02
ANTHEM NH
—
01
—
435571NH
CIGNA
—
01
—
48124
VTBLUE
VT
01
—
7787901
VMC
VT
Enumeration date
10/28/2005
Last updated
07/29/2015
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