Healthcare Provider Details

I. General information

NPI: 1689805673
Provider Name (Legal Business Name): JENNIFER J HALE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER J PATRIE ARNP

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HAMPTON RD
EXETER NH
03833-4806
US

IV. Provider business mailing address

5 ALUMNI DR
EXETER NH
03833-2128
US

V. Phone/Fax

Practice location:
  • Phone: 603-580-6635
  • Fax: 603-580-6579
Mailing address:
  • Phone: 603-580-6635
  • Fax: 603-580-6579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN233422
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberRN233422
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number045514 23
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number045144 23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: