Irzyk, Jacqueline Rose

Irzyk, Jacqueline Rose is an individual health care provider with primary practice located at 67 Corporate Dr, 3Rd Fl , Portsmouth NH 03801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Irzyk, Jacqueline Rose can be contacted via phone (603) 610-8050.

Contact Information

Primary practice address
67 Corporate Dr, 3Rd Fl Portsmouth NH 03801
Phone: (603) 610-8050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2276821 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 072820-23 New Hampshire

Profile Details

NPI number 1548677685
LBN Legal business name Irzyk, Jacqueline Rose
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2014
Last updated Jan 27th, 2020 - 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 1548677685 NPPES
New Hampshire MEDICAID 3102737

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