Individual
STEPHANIE ACKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CDCES
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2790
(603) 640-1228
Mailing address
1 MEDICAL DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
060808-21
NH
363L00000X
Nurse Practitioner
Primary
060808-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060808-23
NH BOARD OF NURSING
NH
Enumeration date
06/15/2017
Last updated
01/13/2026
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