JACK GAVIN


Address: 314 S Main St, Concord, NH 03301-3468
Phone: 6035687867

JACK GAVIN (NPI# 1548329931) 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) 1548329931
Entity Type Individual
Full Name JACK GAVIN
Credential NURSE PRACTITIONER
Practice Address 314 S Main St
Concord
NH 03301-3468
Mailing Address 26 Norwich St
Concord
NH 03301-2216
Practice Telephone 6035687867
Practice Fax Number 6034106682
Mailing Telephone 6035687867
Mailing Fax Number 6034106682
Enumeration Date 2006-12-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 363LF0000X Nurse Practitioner
Specialization: Family
047435-23-03 NH Physician Assistants & Advanced Practice Nursing Providers
X 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
047435-23-08 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30342516 05

Office Location

Street Address 314 S MAIN ST
City CONCORD
State NH
Zip Code 03301-3468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255717344 Joe Miguel Figuereo Nurse Practitioner 314 S Main St, Concord, NH 03301-3406 2015-07-30
1295041010 Michael C. Zoltko Nurse Practitioner 314 S Main St, Concord, NH 03301-3406 2010-08-31
1962520700 Laura Anne Jones Naturopath 314 S Main St, Concord, NH 03301-3406 2007-03-27
1073699161 Emily Bryant Nurse Practitioner 314 S Main St, Concord, NH 03301-3468 2006-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154988483 Kelly Jean O'brien Dental Hygienist Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 2019-05-22
1437640679 Kyle Moore Thorne Nurse Anesthetist, Certified Registered 1 Pillsbury St Ste 202, Concord, NH 03301 2018-05-23
1730688789 Ashley M Pinkham Nurse Practitioner 246 Pleasant St Ste 104, Concord, NH 03301 2018-02-06
1134645831 D & B Medical Logistics LLC Non-emergency Medical Transport (VAN) 119 Old Turnpike Rd, Concord, NH 03301 2017-08-15
1821520727 Julie Haejung Chang Dentist 273 Loudon Rd, Concord, NH 03301 2017-03-30
1407396500 Oakmont Med Solutions Durable Medical Equipment & Medical Supplies 14 Centre Street, Concord, NH 03301 2017-03-08
1407210347 Sherri Jean Perry Nurse Practitioner Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 2016-04-06
1922474428 Optometric Associates of Nh, LLC Optometrist 273 Loudon Road, Suite 7, Concord, NH 03301 2015-08-19
1871969600 Creative Counseling Center, Pllc Counselor 18 Kennedy Lane, Concord, NH 03301 2015-08-16
1376927087 Families In Transition Counselor 9 Odd Fellows Ave, Concord, NH 03301 2015-07-13
Find all providers in zip 03301

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164041927 Kayla Norman Nurse Practitioner 827 Gaulding Rd, Concord, GA 30206-2258 2020-04-13
1982246534 Josephine Akih Ojong Fongoh Nurse Practitioner 7395 Millstone Cir Sw, Concord, NC 28025-0005 2019-10-16
1356995187 Lyndsey Michele Vallee Nurse Practitioner 10 Ferry St Ste 201, Concord, NH 03301-5081 2019-07-30
1215580923 Zoe J. Owers Nurse Practitioner 248 Pleasant St Ste 2600, Concord, NH 03301-7529 2019-07-22
1659834984 Alisha Hudson Eudy Nurse Practitioner 2934 Walter Dr Nw, Concord, NC 28027-5562 2019-04-12
1831674647 Rebecca C Diamond Nurse Practitioner 24 Bridge St Ste 9, Concord, NH 03301-4922 2018-09-27
1730688789 Ashley M Pinkham Nurse Practitioner 246 Pleasant St Ste 104, Concord, NH 03301 2018-02-06
1295272565 Jasmin Moultrie Nurse Practitioner 2095 Diamond Blvd, Concord, CA 94520-5832 2017-01-25
1417406976 Lena Lax Nurse Practitioner 185 Central St, Concord, MA 01742-2909 2016-09-26
1760834857 Sheri N. Davis Nurse Practitioner 11005 Heber Springs Rd N, Concord, AR 72523-9561 2016-07-13
Find all providers in CONCORD

Competitor

Search similar providers

City CONCORD
Zip Code 03301

Improve Information

Please comment or provide details below to improve the information on JACK GAVIN.

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.

Trending Searches