JACK GAVIN NURSE PRACTITIONER
NPI 1548329931
Nurse Practitioner - Family in Concord, NH

Active since December 08, 2006
314 S MAIN ST, CONCORD, NH 03301(603) 568-7867(603) 410-6682 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jack Gavin Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK GAVIN NURSE PRACTITIONER (NPI 1548329931) is an individual family provider in Concord, New Hampshire, licensed in New Hampshire (047435-23-03) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1548329931
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACK GAVINCredential: NURSE PRACTITIONER
Location Address314 S MAIN STConcord, NH 03301-3468
Mailing Address26 Norwich StConcord, NH 03301-2216 · (603) 568-7867 · Fax (603) 410-6682
Fax(603) 410-6682
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1548329931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 047435-23-03
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 047435-23-08 (NH)
314 S MAIN ST, Concord, NH 03301

Other Identifiers 1

Medicaid30342516NH

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
314 S MAIN ST
CONCORD, NH 03301
Nurse Practitioner (Psychiatric/Mental Health)
314 S MAIN ST
CONCORD, NH 03301
Nurse Practitioner (Psychiatric/Mental Health)
314 S MAIN ST
CONCORD, NH 03301
Nurse Practitioner (Psychiatric/Mental Health)
314 S MAIN ST
CONCORD, NH 03301
Naturopath
314 S MAIN ST
CONCORD, NH 03301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Gavin's NPI number?

The NPI number for Jack Gavin is 1548329931. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jack Gavin located?

Jack Gavin practices at 314 S Main St, Concord, NH 03301. The listed phone number is (603) 568-7867.

What is Jack Gavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jack Gavin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.