Healthcare Provider Details

I. General information

NPI: 1568349520
Provider Name (Legal Business Name): JODI DOBENS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 COMMERCIAL ST STE 200
CONCORD NH
03301-5094
US

IV. Provider business mailing address

10 WEST ST
CONCORD NH
03301-3548
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-0005
  • Fax: 603-883-0007
Mailing address:
  • Phone: 603-225-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number052132-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number052132-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: