Healthcare Provider Details
I. General information
NPI: 1891182655
Provider Name (Legal Business Name): JODI ALGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/20/2015
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
113 CROSBY RD SUITE 1
DOVER NH
03820
US
IV. Provider business mailing address
113 CROSBY RD SUITE 1
DOVER NH
03820
US
V. Phone/Fax
- Phone: 603-516-9300
- Fax: 603-743-3244
- Phone: 603-516-9300
- Fax: 603-743-3244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | 068015-21 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: