| Jennifer Lynn Godek, APRN | |
|
25 Nashua Rd, Londonderry, NH 03053-3446 | |
| (603) 552-3309 | |
| (603) 965-4177 |
| Full Name | Jennifer Lynn Godek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 25 Nashua Rd, Londonderry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548929235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 065403-23 (New Hampshire) | Primary |
| Entity Name | Diabetes And Lifestyle Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649649021 PECOS PAC ID: 9638488927 Enrollment ID: O20151028000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Godek, APRN 24 Norwich St, Concord, NH 03301-2216 Ph: (603) 661-1733 | Jennifer Lynn Godek, APRN 25 Nashua Rd, Londonderry, NH 03053-3446 Ph: (603) 552-3309 |
Mrs. Brianna Boulanger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 184 Mammoth Rd, Unit 4, Londonderry, NH 03053 Phone: 603-473-4451 Fax: 603-584-4822 | |
Mrs. Stephanie Selleck, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300 | |
Joyce Anne Aliseo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300 Fax: 603-845-1830 | |
Jaclyn N Truland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Buttrick Rd, Londonderry, NH 03053 Phone: 603-552-1400 | |
Amy M Cullen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Nashua Rd Ste 301, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048 | |
Mrs. Debra J Corrigan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Buttrick Road, Elliot Internal Medicine At Londonderry, Londonderry, NH 03053 Phone: 603-434-1919 Fax: 603-434-7346 | |
Mrs. Joan Ellen Romboli, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Commons Dr, Ste 24, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048 |