JESSICA THIBODEAU APRN BC NPI 1417929910

NPI Information

NPI: 1417929910
Provider Name: JESSICA THIBODEAU, APRN, BC
Classification: Nurse Practitioner - 363LA2200X
Specialization: Adult Health
Entity Type: Individual
PECOS Registration: Yes
Address: 25 MOUNT EUSTIS RD
LITTLETON, NH
ZIP 03561
Phone: (603) 444-2464

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NPI Details

Jessica Thibodeau, APRN, BC is an adult health nurse practitioner in Littleton, NH with 31 years of experience. Jessica Thibodeau, APRN, BC NPI is 1417929910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 MOUNT EUSTIS RD
LITTLETON, NH
ZIP 03561-712
Phone: (603) 444-2464
Fax: (603) 444-3441

The NPI 1417929910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 2/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	0417842305	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30009281	MEDICAID	NEW HAMPSHIRE
2	NP0607	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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