Provider Demographics
NPI:1386051696
Name:HAILSON, JEAN FLORA (APRN,FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:FLORA
Last Name:HAILSON
Suffix:
Gender:F
Credentials:APRN,FNP-C
Other - Prefix:MISS
Other - First Name:JEAN
Other - Middle Name:FLORA
Other - Last Name:PAQUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:105 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3852
Mailing Address - Country:US
Mailing Address - Phone:603-271-7936
Mailing Address - Fax:603-271-7350
Practice Address - Street 1:105 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3852
Practice Address - Country:US
Practice Address - Phone:603-271-7936
Practice Address - Fax:603-271-7350
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH070639-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner