Individual
LEONARD JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WAIVER
Contact information
Practice address
25 W MAIN ST, CONWAY, NH 03818-6142
(603) 447-2111
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-3347
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
088245-21
NH
Other
Enumeration date
08/08/2018
Last updated
08/20/2025
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