Individual
JILL D GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-5461
Mailing address
1133 CHOCORUA RD UNIT 9, TAMWORTH, NH 03886-5025
(603) 393-7326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
040280-23
NH
363LF0000X
Family Nurse Practitioner
PENDING
NH
390200000X
Student in an Organized Health Care Education/Training Program
040280-21
NH
Other
Enumeration date
01/27/2020
Last updated
10/06/2021
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