Provider Demographics
NPI:1841430865
Name:BORDEN-ELFNER, JESSICA LOREN (RDMS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LOREN
Last Name:BORDEN-ELFNER
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 CENTRAL AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2506
Mailing Address - Country:US
Mailing Address - Phone:603-767-9736
Mailing Address - Fax:
Practice Address - Street 1:839 CENTRAL AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2506
Practice Address - Country:US
Practice Address - Phone:603-767-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH963222471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography