Healthcare Provider Details

I. General information

NPI: 1295859114
Provider Name (Legal Business Name): JEANNE L. BROWNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MCGUIRE ST UNIT D
CONCORD NH
03301-4623
US

IV. Provider business mailing address

8 MCGUIRE ST UNIT D
CONCORD NH
03301-4623
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-8710
  • Fax:
Mailing address:
  • Phone: 603-228-8710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number03155
License Number StateNH

VIII. Authorized Official

Name: JEANNE L BROWNE
Title or Position: ADMINISTRATOR
Credential: CPM, NHCM
Phone: 603-228-8710