Provider Demographics
NPI:1922073220
Name:WINSLOW, JENNIFER F (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:F
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 GILMANTON RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-4212
Mailing Address - Country:US
Mailing Address - Phone:207-751-7052
Mailing Address - Fax:
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SUITE 420
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2919
Practice Address - Country:US
Practice Address - Phone:603-577-3003
Practice Address - Fax:603-577-3331
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP 81889363L00000X
NH041833-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
010424957OtherCHAMPUS
0799861OtherCIGNA
010424957OtherTRICARE
010424957OtherSTANDARD TAX ID
010424957OtherEMPLOY STANDARDS
041568OtherBCBS
39200OtherHARVARD PILGRIM
041568OtherBCBS
NP4066Medicare ID - Type Unspecified