Jean M Banville, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Manchester, NH
NPI 1407035744 · NPPES record last updated Nov 8, 2007
Key facts
- NPI
- 1407035744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 051072-23 (NH)
- Practice address
- 1228 Elm St
Manchester, NH 03101-1349 - Phone
- (603) 668-4111
- NPI assigned
- Nov 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021072-21 | NH | MD | Psychiatric/Mental Health Registered Nurse |
| 051072-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 021072-21 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 051072-23 | NH | Yes |
Addresses
Primary practice location
1228 Elm St
Manchester, NH 03101-1349
Mailing address
401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111
Other names
- Jean M Hall, Cunningham
Other providers in Manchester, NH
- Caroline Ilene Ball
- Monica Ballarano
- Diane Estelle Ballard
- Michelle L Bannister
- Lauren Bannon
- Julie Aviva Barbick
- Michele Barbrie
- Taylor Marie Barclay
- Spencer Bardwell
- Eva Barger
All providers in Manchester, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.