| Lisa Clark Jenkins, | |
|
88 Splitrock Rd, Grantham, NH 03753-3250 | |
| (802) 252-3005 | |
| (603) 676-0015 |
| Full Name | Lisa Clark Jenkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 88 Splitrock Rd, Grantham, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972361673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 058362-23 (New Hampshire) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Counseling Associates Of New London Pllc | 0042369910 | 45 |
| Entity Name | Counseling Associates of New London PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205055365 PECOS PAC ID: 0042369910 Enrollment ID: O20090526000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Clark Jenkins, 221 Main St # 4313, Nashua, NH 03060-2913 Ph: (802) 252-3005 | Lisa Clark Jenkins, 88 Splitrock Rd, Grantham, NH 03753-3250 Ph: (802) 252-3005 |
Jennifer L Taylor, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Route 10 N Ste 5, Grantham, NH 03753 Phone: 802-392-0679 Fax: 802-547-8744 |
Ms. Melynda Kaye Wallace, CRNA, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 Route 10 N Unit 2, Grantham, NH 03753 Phone: 603-309-3902 Fax: 603-843-8176 |