Individual
JACLENE RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S RIVER RD STE 100, BEDFORD, NH 03110
(603) 647-0494
(603) 647-0493
Mailing address
160 S RIVER RD STE 101, BEDFORD, NH 03110-6927
(603) 647-0494
(603) 647-0493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
062520-21
NH
163W00000X
Registered Nurse
RN2262268
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
062520-23
NH
Other
Enumeration date
10/18/2009
Last updated
05/18/2018
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