Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Gavin, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1548329931

Jack Gavin, NURSEPRACTITIONER is a Family Nurse Practitioner in Concord, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2006
Specialties on file
2

Practice location Address checks out

314 S Main St
Concord, NH 03301-3468
Phone: (603) 568-7867
Fax: (603) 410-6682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 047435-23-03 (NH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 047435-23-08 (NH)

Record details

NPI number1548329931
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 8, 2006
Last updated in NPPESSeptember 11, 2025

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