Provider Demographics
NPI:1497352967
Name:NEWCITY, JESSICA (CNM/WHNP-BC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:NEWCITY
Suffix:
Gender:F
Credentials:CNM/WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 E SIDE RD
Mailing Address - Street 2:
Mailing Address - City:WENTWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03282-3333
Mailing Address - Country:US
Mailing Address - Phone:603-764-6034
Mailing Address - Fax:
Practice Address - Street 1:26 BANK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1796
Practice Address - Country:US
Practice Address - Phone:600-344-8694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH071635-23367A00000X
MARN2333366367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife