Healthcare Provider Details

I. General information

NPI: 1922073220
Provider Name (Legal Business Name): JENNIFER F WINSLOW NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MAIN ST SUITE 420
NASHUA NH
03060-2919
US

IV. Provider business mailing address

344 GILMANTON RD SUITE 420
BELMONT NH
03220-4212
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3003
  • Fax: 603-577-3331
Mailing address:
  • Phone: 207-751-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP 81889
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041833-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: