Healthcare Provider Details

I. General information

NPI: 1790651941
Provider Name (Legal Business Name): JENNIFER LEIGH MORSE HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 PLAINFIELD RD UNIT 120
WEST LEBANON NH
03784-2017
US

IV. Provider business mailing address

267 PLAINFIELD RD UNIT 120
WEST LEBANON NH
03784-2017
US

V. Phone/Fax

Practice location:
  • Phone: 603-790-8157
  • Fax:
Mailing address:
  • Phone: 603-790-8157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2088
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: