Basic Information
Provider Information
NPI: 1710556428
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOY
FirstName: ASHLEY
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18 FOUNDRY ST STE 201
Address2:  
City: CONCORD
State: NH
PostalCode: 033015421
CountryCode: US
TelephoneNumber: 6032280071
FaxNumber:  
Practice Location
Address1: 18 FOUNDRY ST STE 201
Address2:  
City: CONCORD
State: NH
PostalCode: 033015421
CountryCode: US
TelephoneNumber: 6032280071
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2021
LastUpdateDate: 09/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200X064471-21NHN Nursing Service ProvidersRegistered NurseCritical Care Medicine
363LF0000X064471-23NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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