Healthcare Provider Details

I. General information

NPI: 1033551643
Provider Name (Legal Business Name): SARA JOAN JONCAS APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST.
CONCORD NH
03301-7559
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-7559
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-7200
  • Fax: 603-227-7562
Mailing address:
  • Phone: 603-228-7200
  • Fax: 603-227-7562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2269072
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number065809-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: