Healthcare Provider Details

I. General information

NPI: 1619379195
Provider Name (Legal Business Name): MRS. JOYCE ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 1ST AVE
GOFFSTOWN NH
03045-1715
US

IV. Provider business mailing address

13 1ST AVE
GOFFSTOWN NH
03045-1715
US

V. Phone/Fax

Practice location:
  • Phone: 603-660-0696
  • Fax: 603-678-7039
Mailing address:
  • Phone: 603-660-0696
  • Fax: 603-678-7039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN261491
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: