JESSICA THIBODEAU


Address: 25 Mount Eustis Rd, Littleton, NH 03561-3712
Phone: 6034442464

JESSICA THIBODEAU (NPI# 1417929910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417929910
Entity Type Individual
Full Name JESSICA THIBODEAU
Credential APRN, BC
Practice Address 25 Mount Eustis Rd
Littleton
NH 03561-3712
Mailing Address 41 Lincoln Ave
Lisbon
NH 03585-6508
Practice Telephone 6034442464
Practice Fax Number 6034443441
Mailing Telephone 6038388967
Enumeration Date 2006-02-07
Last Update Date 2010-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
0417842305 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30009281 05

Office Location

Street Address 25 MOUNT EUSTIS RD
City LITTLETON
State NH
Zip Code 03561-3712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538637228 Brenda Fortier-dube Social Worker 25 Mount Eustis Rd, Littleton, NH 03561-3712 2018-11-12
1376951285 Keith Foster Batchelder Dentist 25 Mount Eustis Rd, Littleton, NH 03561-3712 2014-07-24
1285893586 Ammonoosuc Community Health Services Inc Clinic/Center 25 Mount Eustis Rd, Littleton, NH 03561-3712 2008-06-03
1912166380 Ammonoosuc Community Health Services Inc Clinic/Center 25 Mount Eustis Rd, Littleton, NH 03561-3712 2008-06-02
1114108396 Elizabeth F Harman Physician Assistant 25 Mount Eustis Rd, Littleton, NH 03561-3712 2007-11-16
1154510170 Joshua L. Gleiner Physician Assistant 25 Mount Eustis Rd, Littleton, NH 03561-3712 2007-10-16
1619196409 Ammonoosuc Community Health Services, Inc. Clinic/Center 25 Mount Eustis Rd, Littleton, NH 03561-3712 2007-04-24
1356490312 Nicole V Fischler Nurse Practitioner 25 Mount Eustis Rd, Littleton, NH 03561-3712 2007-01-09
1073613030 Stephen M Noyes Social Worker 25 Mount Eustis Rd, Littleton, NH 03561-3712 2006-09-22
1790884435 Wanda W Mclure Physician Assistant 25 Mount Eustis Rd, Littleton, NH 03561-3712 2006-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391536 Christopher Lee Flores Toves Registered Nurse Littleton Regional Healthcare, 600 Saint Johnsbury Road, Littleton, NH 03561 2019-11-25
1588017446 Genevieve Mary Kelley Family Medicine 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 2016-07-15
1578924072 Taveras Transportation Non-emergency Medical Transport (VAN) 103 Farr Hill Rd, Littleton, NH 03561 2016-03-10
1417216466 Karl Herzig Pharmacist 25 Mount Eutis Rd, Ammonoosuc Community Health Services, Littleton, NH 03561 2012-05-11
1952678377 Francis Joseph Dunn Jr. Pharmacist 25 Mount Eustis Road, Littleton, NH 03561 2011-11-30
1164738514 Susan Jane Fraser Pharmacist 118 -136 Meadow St, Littleton, NH 03561 2010-08-24
1174706071 Jean Langevin Orthopaedic Surgery 580 Sain Johnsbury Road, Alpine Clinic - Littleton, Littleton, NH 03561 2007-12-13
1609094028 Catherine Hier Counselor 229 Cottage Street, Littleton, NH 03561 2007-04-23
1932323136 Northern New England Compounding Pharmacy Pharmacy 338 Union St, Littleton, NH 03561 2007-04-12
1801917216 Patrick Fitzpatrick Allergy & Immunology 580 St. Jonsbury Rd., Littleton, NH 03561 2007-04-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1144668708 Rebecca Ann Fuentes Felty Nurse Practitioner 2329 W Main St Ste 203, Littleton, CO 80120-8200 2013-06-05
1407291016 Ava Hsu Nurse Practitioner 5506 S Zinnia St, Littleton, CO 80127-2120 2013-05-09
1306310875 Kurt Dean Vasquez Jr. Nurse Practitioner 7700 S Broadway, Littleton, CO 80122-2602 2019-01-17
1811438617 Brittany Aliberti Nurse Practitioner 7720 S Broadway Ste 590, Littleton, CO 80122-2601 2017-03-13
1659821171 Rebecca Fuentes Felty Np LLC Nurse Practitioner 2329 W Main St Ste 203, Littleton, CO 80120-8200 2016-10-07
1710383310 Colorado Pulmonary Intensivists Nurse Practitioner 15 W Dry Creek Cir, Littleton, CO 80120-4427 2014-11-08
1639329725 Franca Tartaglia Gardner Nurse Practitioner 4260 S Wadsworth Blvd, Suite 150, Littleton, CO 80123-1308 2008-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770123937 Branches Whole Health Nurse Practitioner 28 Charron Ave Ste 10a, Nashua, NH 03063-1735 2020-01-15
1578035549 Caitlin Farmer Nurse Practitioner 155 Borthwick Ave Ste 202, Portsmouth, NH 03801-7156 2019-01-01
1922508134 Michelle Lauren Mercuri Nurse Practitioner 108 Highland St, Hudson, NH 03051-3803 2018-02-14
1477005205 Richard Lapage Nurse Practitioner 194a Pleasant St, Concord, NH 03301-2903 2016-10-27
1437513140 Laurie Brockelman Nurse Practitioner 462 Route 119 East, Fitzwilliam, NH 03447-3149 2016-04-08
1326444159 Janice Danyew Nurse Practitioner 3 Rosewood Ave, Sanbornton, NH 03269 2014-11-05
1134524697 Theresa Evans Nurse Practitioner 79 Mace Rd, Hampton, NH 03842-2052 2014-10-27
1932525839 Lindsay Schommer Nurse Practitioner 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 2014-03-16
1194169235 Kans Booz Lewis Nurse Practitioner 41 Jericho Rd, Berlin, NH 03570-1315 2013-04-19
1376889212 Moving Forward Healthcare for Older Adults LLC Nurse Practitioner 2 Birch Rd, Peterborough, NH 03458-1903 2012-12-21
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Competitor

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City LITTLETON
Zip Code 03561

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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