Individual
JULIANNE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 MAMMOTH RD, MANCHESTER, NH 03109
(866) 389-2727
Mailing address
271 MAMMOTH RD, MANCHESTER, NH 03109-4124
(978) 375-7745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
078751-23
NH
363LF0000X
Family Nurse Practitioner
RN2277226
MA
Other
Enumeration date
10/20/2017
Last updated
11/05/2019
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