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Jack Gavin, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Concord, New Hampshire
NPI 1548329931

Jack Gavin is a Psychiatric/Mental Health Nurse Practitioner based in Concord, NH and is specialized in Psychiatric/Mental Health. Jack Gavin practices in Concord, NH and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jack Gavin is 1548329931 and holds a License No. 047435-23-03 (New Hampshire).

The current practice location address for Jack Gavin is 314 S Main St, Concord, NH and can be reached out via phone at 603-568-7867 and via fax at 603-410-6682.

Location: 314 S Main St, Concord, NH, 03301-2216
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Provider Profile Details
NPI Number
1548329931
Provider Name
Jack Gavin
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
314 S Main St, Concord, NH, 03301-2216
Phone Number
603-568-7867
Fax Number
603-410-6682
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30342516 05 NH
institution
Provider Business Practice Location Address Details
Address
314 S Main St
City
State
Zip
03301-3468
Phone Number
603-568-7867
Fax Number
603-410-6682
person
Provider Business Mailing Address Details
Address
314 S Main St
City
State
Zip
03301-3468
Phone Number
603-568-7867
Fax Number
603-410-6682
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
047435-23-08 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
047435-23-03 (New Hampshire)
Definition
Definition to come...
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