Provider Demographics
NPI:1427394089
Name:BOOKMAN, JEREMY SCOTT (PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:SCOTT
Last Name:BOOKMAN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 LAFAYETTE RD UNIT 11-121
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4551
Mailing Address - Country:US
Mailing Address - Phone:603-945-9787
Mailing Address - Fax:603-932-7863
Practice Address - Street 1:380 LAFAYETTE RD UNIT 11-121
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4551
Practice Address - Country:US
Practice Address - Phone:603-945-9787
Practice Address - Fax:603-932-7863
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN253818363LP0808X
NH082637-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health