MYLES ST JONN FNP NPI 1821545104

NPI Information

  • NPI: 1821545104
  • Provider Name: MYLES ST JONN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4 CRESCENT ST
    PENACOOK, NH
    ZIP 03303
  • Phone: (603) 753-4302

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NPI Details

Myles St Jonn, FNP is a family nurse practitioner in Penacook, NH with 10 years of experience. Myles St Jonn, FNP NPI is 1821545104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

4 CRESCENT ST
PENACOOK, NH
ZIP 03303-468
Phone: (603) 753-4302
Fax: (603) 227-7570

The NPI 1821545104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 9/5/2016 and was last updated on 10/2/2025.

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
1363LF0000XNurse PractitionerFamily115286-23NEW HAMPSHIREYes
2363LF0000XNurse PractitionerFamilyAPRN-104589MONTANANo

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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