Provider Demographics
NPI:1700161817
Name:FRANCIS, JENNIFER A (MS CCC/CLP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:A
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MS CCC/CLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MAIN ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2766
Mailing Address - Country:US
Mailing Address - Phone:603-577-5517
Mailing Address - Fax:603-521-7434
Practice Address - Street 1:142 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2766
Practice Address - Country:US
Practice Address - Phone:603-577-5517
Practice Address - Fax:603-521-7434
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0720235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist