Provider Demographics
NPI:1346015633
Name:PARRY, JESSICA ANN (APRN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:PARRY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 JONES AVE
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1710
Mailing Address - Country:US
Mailing Address - Phone:603-660-2450
Mailing Address - Fax:
Practice Address - Street 1:3 ALUMNI DR STE 201
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2122
Practice Address - Country:US
Practice Address - Phone:603-772-5528
Practice Address - Fax:603-777-1296
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH092111-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily