Individual
RICHARD JAKE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3770
(603) 668-3545
Mailing address
734 HIGH ST, CANDIA, NH 03034-2040
(603) 668-3545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086230-21
NH
363LA2100X
Acute Care Nurse Practitioner
Primary
086230-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086230-21
—
NH
05
—
086230-23
—
NH
Enumeration date
12/23/2021
Last updated
02/26/2026
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