Thibodeau, Jessica

Thibodeau, Jessica is an individual health care provider with primary practice located at 25 Mount Eustis Rd , Littleton NH 03561-3712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thibodeau, Jessica can be contacted via phone (603) 444-2464.

Contact Information

Primary practice address
25 Mount Eustis Rd Littleton NH 03561-3712
Phone: (603) 444-2464
Fax: (603) 444-3441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0417842305 New Hampshire

Profile Details

NPI number 1417929910
LBN Legal business name Thibodeau, Jessica
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 1st, 2010 - about 14 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 1417929910 NPPES
New Hampshire MEDICAID 30009281

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