Individual
AMANDA JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BORTHWICK AVE STE 101, PORTSMOUTH, NH 03801-4102
(603) 436-7171
(603) 433-5931
Mailing address
330 BORTHWICK AVE STE 101, PORTSMOUTH, NH 03801-4102
(603) 436-7171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
082661-21
NH
Other
Enumeration date
11/16/2024
Last updated
07/17/2025
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