Doctor Name: | JANICE LECOMPTE STILES |
NPI Number: | 1407160989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN PMHCNS-BC MA |
License Number: | 030636-21 |
Business Practice Address: | 96 Tasker Hill Rd Strafford, NH - 038846857 |
Business Phone Number: | 6036448288 |
Business Fax Number: | |
Mailing Address: | 96 Tasker Hill Rd, STRAFFORD |
State: | NH |
Postal Code: | 038846857 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 12/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 030636-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |