Individual
JILL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
071033-23
NH
Other
Enumeration date
01/07/2015
Last updated
10/24/2016
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