Individual
JENNIFER MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 DERRY RD, HUDSON, NH 03051-3023
(603) 886-3979
(603) 886-2898
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN282048
MA
363LF0000X
Family Nurse Practitioner
Primary
081555-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
RN282048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110132387A
—
MA
01
—
S400461117
MEDICARE
MA
Enumeration date
02/02/2017
Last updated
08/09/2022
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