Doctor Name: | MRS. JENNIFER DORIS GAUDET-ESENWINE |
NPI Number: | 1720394497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN |
License Number: | 039832-23 |
Business Practice Address: | 1990 Dover Rd Suite 201 Epsom, NH - 032344146 |
Business Phone Number: | 6037366200 |
Business Fax Number: | 6037366220 |
Mailing Address: | 1990 Dover Rd, Suite 201 EPSOM |
State: | NH |
Postal Code: | 032344146 |
Phone Number: | 6037366200 |
Fax Number: | 6037366220 |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 11/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 039832-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |