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Contact Information

DANIELLE JACKSON
25 NEW HAMPSHIRE AVE STE 272
PORTSMOUTH, NH03801-2923
 Phone: 603-433-2480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice

163WH1000X
Indicates primary specialty

NPI Profile & details for DANIELLE JACKSON · (Female)

NPI Number 1558231027
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2025
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • ME License # RN78824
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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