Individual
LISA CLARK JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 NEWPORT RD, NEW LONDON, NH 03257-5413
(603) 276-0802
Mailing address
2 BUCK RD STE C, HANOVER, NH 03755-2715
(603) 865-1321
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
058362-23
NH
Other
Enumeration date
03/08/2024
Last updated
06/09/2025
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