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Individual

JAMIE J BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2 WALL ST, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 622-4134
Mailing address
2 WALL ST STE 200, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 622-4134

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
054241-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
054241-23
NH

Other

Enumeration date
05/21/2009
Last updated
01/03/2025
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