Active NPIIndividual provider

Myles St Jonn, FNP

Nurse Practitioner, Family in Penacook, New Hampshire

NPI Number1821545104
Practice location
4 Crescent St, Penacook, NH 03303-1468
Fax
603-227-7570
Last updated
October 2, 2025

Myles St Jonn is a Nurse Practitioner, Family based in Penacook, NH. Myles St Jonn practices in Penacook, NH and has the professional credentials of FNP. The NPI Number for Myles St Jonn is 1821545104 and holds a License No. 115286-23 (NH). The current practice location address for Myles St Jonn is 4 Crescent St, Penacook, NH 03303-1468 and can be reached out via phone at 603-753-4302 and via fax at 603-227-7570.

Provider Profile Details

NPI Number
1821545104
Provider Name
Myles St Jonn
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4 Crescent St, Penacook, NH 03303-1468
Phone Number
603-753-4302
Fax Number
603-227-7570
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2016
Last Update Date
October 2, 2025
Certification Date
October 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Crescent St
Penacook, NH 03303-1468
Zip
03303-1468
Phone Number
603-753-4302
Fax Number
603-227-7570
Penacook, NH 03303Get directions →

Provider Business Mailing Address Details

Address
250 Pleasant St
Concord, NH 03301-2598
City
Concord
State
NH
Zip
03301-2598
Phone Number
603-227-7000

License Information

License Number (1)
115286-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
APRN-104589
License State (2)
MT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myles St Jonn, FNP?

The NPI number of Myles St Jonn, FNP is 1821545104. It was assigned on September 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Myles St Jonn, FNP?

Myles St Jonn, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 115286-23.

Where does Myles St Jonn, FNP practice?

The practice location is 4 Crescent St, Penacook, NH 03303-1468. The office can be reached at 603-753-4302 (phone) or 603-227-7570 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821545104 directly on the NPPES registry website.

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