Provider Demographics
NPI:1831242270
Name:QUINN, JENNIFER (ND)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 FALL MILL RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5733
Mailing Address - Country:US
Mailing Address - Phone:207-752-4477
Mailing Address - Fax:
Practice Address - Street 1:875 GREENLAND RD UNIT B11
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4162
Practice Address - Country:US
Practice Address - Phone:603-945-8119
Practice Address - Fax:833-645-0925
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH29175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath