Provider Demographics
NPI:1235566324
Name:CARRIGG, JESSICA ERIN (FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ERIN
Last Name:CARRIGG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CATHEDRAL LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-5071
Mailing Address - Country:US
Mailing Address - Phone:603-325-2470
Mailing Address - Fax:
Practice Address - Street 1:53 STILES RD STE C102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2891
Practice Address - Country:US
Practice Address - Phone:603-475-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH080160-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily