Jennifer Brown Tichich, ANP-BC
Nurse Practitioner, Primary Care in Laconia, NH. Individual provider (NPI-1).
NPI number1124179130
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1124179130
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Brown Tichich
- Credential
- ANP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2007
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 046565-23 | NH | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 304640 | NY |
Practice location
22 Strafford St Ste 1Laconia, NH 03246-4702
Phone 603-366-1070
Mailing address
22 Strafford St Ste 1Laconia, NH 03246-4702
Phone 603-366-1070
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