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JACQUELINE ROSE IRZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
67 CORPORATE DR, 3RD FL, PORTSMOUTH, NH 03801
(603) 610-8050
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 610-8050

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2276821
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
072820-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3102737
NH
Enumeration date
07/21/2014
Last updated
01/27/2020
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