Healthcare Provider Details

I. General information

NPI: 1457245441
Provider Name (Legal Business Name): MY ALLERGY EXPERTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 TSIENNETO RD # 210
DERRY NH
03038-1559
US

IV. Provider business mailing address

15 TSIENNETO RD # 210
DERRY NH
03038-1559
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-7434
  • Fax: 603-889-9531
Mailing address:
  • Phone: 603-889-7434
  • Fax: 603-889-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA WOODS
Title or Position: OWNER/MANAGER
Credential: AUD
Phone: 603-889-7434