Healthcare Provider Details

I. General information

NPI: 1487547972
Provider Name (Legal Business Name): JENNIFER GARCIA NASON NP GRAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST
CONCORD NH
03301-2598
US

IV. Provider business mailing address

117 BROCKWAY RD
HOPKINTON NH
03229-2013
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2711
  • Fax:
Mailing address:
  • Phone: 603-558-2324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0000000000
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: