Healthcare Provider Details

I. General information

NPI: 1154038685
Provider Name (Legal Business Name): JESSICA MARIE SPINALI MPH, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 PENNACOOK ST
MANCHESTER NH
03104-3554
US

IV. Provider business mailing address

276 E COTTAGE ST APT 1
DORCHESTER MA
02125-1958
US

V. Phone/Fax

Practice location:
  • Phone: 603-669-7321
  • Fax:
Mailing address:
  • Phone: 781-572-1867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number114145-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2334720
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: