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Individual

JENNA MARIE ASHBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 224-2556
(603) 226-5821
Mailing address
200 TECHNOLOGY DR, HOOKSETT, NH 03106-2504
(603) 622-6484
(603) 647-8593

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0818
MEDICAL LIC
NH
01
1096709
NCCPA
NH
Enumeration date
01/13/2011
Last updated
01/22/2013
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