Healthcare Provider Details

I. General information

NPI: 1831642412
Provider Name (Legal Business Name): JENNIFER GRIFFIN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 AMHERST ST
NASHUA NH
03063-1276
US

IV. Provider business mailing address

436 AMHERST ST STE 201
NASHUA NH
03063-1276
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3003
  • Fax: 603-577-3331
Mailing address:
  • Phone: 603-577-3003
  • Fax: 603-577-3331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number056774-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: