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NPI Code Detail

MEDICARE: JESSICA LEIGH PARKER

MEDICARE: JESSICA LEIGH PARKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNH

General Provider Information

NPI Number : 1164389409
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEIGH PARKER
Provider Business Mailing Address
First Line : 11 BROOKDALE LN
Second Line :
City : PEPPERELL
State : MA
Zip : 01463-1400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1260 ELM ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03101-1305
Country : US
Telephone Number : 603-314-1701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JESSICA LEIGH PARKER ” Practice Location

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