Healthcare Provider Details

I. General information

NPI: 1730866476
Provider Name (Legal Business Name): JENNIFER LYNN DOWLING MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRONT ST STE 100
EXETER NH
03833-2727
US

IV. Provider business mailing address

24 FRONT ST STE 100
EXETER NH
03833-2727
US

V. Phone/Fax

Practice location:
  • Phone: 603-689-7890
  • Fax:
Mailing address:
  • Phone: 603-689-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number053667-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: