Healthcare Provider Details

I. General information

NPI: 1891853198
Provider Name (Legal Business Name): VALERIE A. JACQUES RN, CPM, NHCM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 FRYING PAN LN
STRATHAM NH
03885-2506
US

IV. Provider business mailing address

13 FRYING PAN LN
STRATHAM NH
03885-2506
US

V. Phone/Fax

Practice location:
  • Phone: 603-580-2327
  • Fax: 603-580-2326
Mailing address:
  • Phone: 603-580-2327
  • Fax: 603-580-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number015158-21
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number1009
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: