Active NPIIndividual provider

Dr. Jessica A Charles-Larose, MD

Family Medicine in Bedford, New Hampshire

NPI Number1861021784
Practice location
25 Leavy Dr, Bedford, NH 03110
Fax
—
Last updated
September 11, 2024

Jessica Anne Charles-Larose is a Family Medicine based in Bedford, NH. Jessica Anne Charles-Larose practices in Bedford, NH and has the professional credentials of MD. The NPI Number for Jessica Anne Charles-Larose is 1861021784 and holds a License No. 33679 (NH). The current practice location address for Jessica Anne Charles-Larose is 25 Leavy Dr, Bedford, NH 03110 and can be reached out via phone at 603-472-7233.

Provider Profile Details

NPI Number
1861021784
Provider Name
Jessica Anne Charles-Larose
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
25 Leavy Dr, Bedford, NH 03110
Phone Number
603-472-7233
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2020
Last Update Date
September 11, 2024
Certification Date
September 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Leavy Dr
Bedford, NH 03110
Zip
03110
Phone Number
603-472-7233
Bedford, NH 03110Get directions →

Provider Business Mailing Address Details

Address
6 White Oak Ln
Derry, NH 03038-7268
City
Derry
State
NH
Zip
03038-7268
Phone Number
781-267-4148

License Information

License Number (1)
33679
License State (1)
NH
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
64272
License Number (3)
EC221041
License State (3)
ME
License Number (4)
33679
License State (4)
NH
Taxonomy (4)
Family Medicine · 207Q00000X · Primary

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 Dr. Jessica A Charles-Larose, MD?

The NPI number of Dr. Jessica A Charles-Larose, MD is 1861021784. It was assigned on April 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica A Charles-Larose, MD?

Dr. Jessica A Charles-Larose, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 33679.

Where does Dr. Jessica A Charles-Larose, MD practice?

The practice location is 25 Leavy Dr, Bedford, NH 03110. The office can be reached at 603-472-7233 (phone).

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 1861021784 directly on the NPPES registry website.

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