Active NPIIndividual providerSole proprietor

Mrs. Jaclyn K Foraker, FNP-C

Nurse Practitioner, Family in Brewer, Maine

NPI Number1073139465
Practice location
309 S Main St, Brewer, ME 04412-2231
Fax
207-221-1486
Last updated
November 8, 2026

Jaclyn Kimberly Foraker is a Nurse Practitioner, Family based in Brewer, ME. Jaclyn Kimberly Foraker practices in Brewer, ME and has the professional credentials of FNP-C. The NPI Number for Jaclyn Kimberly Foraker is 1073139465 and holds a License No. CNP201144 (ME). The current practice location address for Jaclyn Kimberly Foraker is 309 S Main St, Brewer, ME 04412-2231 and can be reached out via phone at 207-217-3976 and via fax at 207-221-1486.

Provider Profile Details

NPI Number
1073139465
Provider Name
Jaclyn Kimberly Foraker
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
309 S Main St, Brewer, ME 04412-2231
Phone Number
207-217-3976
Fax Number
207-221-1486
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2020
Last Update Date
November 8, 2026
Certification Date
November 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
309 S Main St
Brewer, ME 04412-2231
City
Brewer
State
Maine
Zip
04412-2231
Phone Number
207-217-3976
Fax Number
207-221-1486
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
309 S Main St
Brewer, ME 04412-2231
City
Brewer
State
ME
Zip
04412-2231
Phone Number
207-217-3976
Fax Number
207-221-1486

License Information

License Number
CNP201144
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jaclyn K Foraker, FNP-C?

The NPI number of Mrs. Jaclyn K Foraker, FNP-C is 1073139465. It was assigned on June 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jaclyn K Foraker, FNP-C?

Mrs. Jaclyn K Foraker, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP201144.

Where does Mrs. Jaclyn K Foraker, FNP-C practice?

The practice location is 309 S Main St, Brewer, ME 04412-2231. The office can be reached at 207-217-3976 (phone) or 207-221-1486 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073139465 directly on the NPPES registry website.

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