Healthcare Provider Details

I. General information

NPI: 1821928367
Provider Name (Legal Business Name): JENNIFER LYNN FLOOD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN SCALA RN

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SHATTUCK WAY STE 100
NEWINGTON NH
03801-8007
US

IV. Provider business mailing address

264 ROLLINGWOOD RD
ELIOT ME
03903-1525
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-6677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number117524-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: