Individual
JENNIFER ANNE TEDCASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27 NEW DURHAM RD, ALTON, NH 03809-4917
(603) 875-6151
(603) 875-6152
Mailing address
27 NEW DURHAM RD, ALTON, NH 03809-4917
(603) 875-6151
(603) 875-6152
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0527
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079252
—
NH
Enumeration date
08/06/2008
Last updated
04/16/2021
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