Individual
MS. JILL M ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 MEDICAL DR, LEBANON, NH 03756-1000
(603) 653-9883
Mailing address
ONE MEDICAL CENTER DRIVE, PEDIATRIC SURGERY, LEBANON, NH 03756-0001
(603) 653-9883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
032118-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008165
—
VT
05
—
30341565
—
NH
Enumeration date
06/16/2006
Last updated
07/21/2022
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