Individual
MS. JESSICA LYNNE CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
789 CENTRAL AVE., DOVER, NH 03820-2526
(603) 609-6819
(603) 609-6821
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
046604-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082050
—
NH
Enumeration date
12/18/2008
Last updated
12/02/2019
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