Healthcare Provider Details

I. General information

NPI: 1922974971
Provider Name (Legal Business Name): JILL GREGOIRE RN, CEN, TCRN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 CORLISS LN
COLEBROOK NH
03576-3207
US

IV. Provider business mailing address

417 PIPER HILL RD
STEWARTSTOWN NH
03576-5241
US

V. Phone/Fax

Practice location:
  • Phone: 603-388-4292
  • Fax:
Mailing address:
  • Phone: 603-388-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number034069-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: