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NPI Code Detail

MEDICARE: JANICE LECOMPTE STILES RN PMHCNS-BC MA

MEDICARE:   JANICE LECOMPTE STILES  RN PMHCNS-BC MA
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse030636-21NH

General Provider Information

NPI Number : 1407160989
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LECOMPTE STILES RN PMHCNS-BC MA
Provider Business Mailing Address
First Line : 96 TASKER HILL RD
Second Line :
City : STRAFFORD
State : NH
Zip : 03884-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 96 TASKER HILL RD
Second Line :
City : STRAFFORD
State : NH
Zip : 03884-6857
Country : US
Telephone Number : 603-644-8288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 12/07/2010

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Directions to “ JANICE LECOMPTE STILES RN PMHCNS-BC MA” Practice Location

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