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NPI Profile for JADE A ODONOVAN in DOVER, NH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1174061170 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 02/09/2017 | |
| Last updated | 09/21/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JADE A ODONOVAN
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JADE A ODONOVAN, AGNP