Provider Demographics
NPI:1558701771
Name:MORRILL, JENNA E (APRN)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:E
Last Name:MORRILL
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 1:40 BUTTRICK RD
Mailing Address - Street 2:ELLIOT PRIMARY CARE LONDONDERRY
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3381
Mailing Address - Country:US
Mailing Address - Phone:603-552-1400
Mailing Address - Fax:603-552-1499
Practice Address - Street 1:40 BUTTRICK RD
Practice Address - Street 2:ELLIOT PRIMARY CARE LONDONDERRY
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3381
Practice Address - Country:US
Practice Address - Phone:603-552-1400
Practice Address - Fax:603-552-1499
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH060009-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily