Healthcare Provider Details

I. General information

NPI: 1013006378
Provider Name (Legal Business Name): JESSICA MARIE LEWIS C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA MARIE SATRAPE C.N.M.

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PROSPECT ST
NASHUA NH
03060-3925
US

IV. Provider business mailing address

PO BOX 3677
NASHUA NH
03061-3677
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-2000
  • Fax:
Mailing address:
  • Phone: 603-577-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number048268-23-01
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: