Individual
JOELLEN SPEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 BORTHWICK AVE, SUITE 300, PORTSMOUTH, NH 03801-4174
(603) 433-4666
(603) 433-1338
Mailing address
330 BORTHWICK AVE, SUITE 300, PORTSMOUTH, NH 03801-4174
(603) 433-4666
(603) 433-1338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0683
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077044
—
NH
Enumeration date
07/29/2008
Last updated
02/09/2022
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