NPI 1174076152 · live from the CMS NPI Registry
Jessica J Baughman, PA-C
Physician Assistant in Lebanon, NH. National Provider Identifier 1174076152, active.
NPI record
| NPI | 1174076152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-5000 |
| Mailing address | Po Box 810, Hanover, NH 03755 |
| Enumerated | July 26, 2016 |
| Last updated | August 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055.0031396 (VT) |
| Physician Assistant, Medical | 363AM0700X | 055.0031396 (VT) |
| Physician Assistant primary | 363A00000X | 2703 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.