Clough, Jessica Lynne

Clough, Jessica Lynne is an individual health care provider with primary practice located at 789 Central Ave. , Dover NH 03820-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Clough, Jessica Lynne can be contacted via phone (603) 609-6819.

Contact Information

Primary practice address
789 Central Ave. Dover NH 03820-2526
Phone: (603) 609-6819
Fax: (603) 609-6821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 046604-23 New Hampshire

Profile Details

NPI number 1578709788
LBN Legal business name Clough, Jessica Lynne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Dec 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578709788 NPPES
New Hampshire MEDICAID 3082050

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