Provider Demographics
NPI:1689805673
Name:HALE, JENNIFER J (ARNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:J
Last Name:HALE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:J
Other - Last Name:PATRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:5 ALUMNI DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2128
Mailing Address - Country:US
Mailing Address - Phone:603-580-6635
Mailing Address - Fax:603-580-6579
Practice Address - Street 1:6 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4806
Practice Address - Country:US
Practice Address - Phone:603-580-6635
Practice Address - Fax:603-580-6579
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN233422363LF0000X, 363LX0106X
NH045514 23363LX0106X
NH045144 23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily