Healthcare Provider Details

I. General information

NPI: 1720997968
Provider Name (Legal Business Name): JAMIE LOVE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BUCK RD
HANOVER NH
03755-2715
US

IV. Provider business mailing address

PO BOX 75
GRANTHAM NH
03753-0075
US

V. Phone/Fax

Practice location:
  • Phone: 603-865-1321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: