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Jennifer D Mora, NP
Family Nurse Practitioner in Portland, Maine
NPI 1164651261

Jennifer D Mora is a Family Nurse Practitioner based in Portland, ME and is specialized in Family. Jennifer D Mora practices in Portland, ME and has the professional credentials of NP. The NPI Number for Jennifer D Mora is 1164651261 and holds a License No. AP111064 (Maine).

The current practice location address for Jennifer D Mora is 22 Bramhall St, Portland, ME and can be reached out via phone at 207-948-2100.

Location: 22 Bramhall St, Portland, ME, 04102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164651261
Provider Name
Jennifer D Mora
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22 Bramhall St, Portland, ME, 04102
Phone Number
207-948-2100
Fax Number
Provider Enumeration Date
07/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12079328 01 CAQHI
institution
Provider Business Practice Location Address Details
Address
22 Bramhall St
City
Portland
State
Maine
Zip
04102
Phone Number
207-948-2100
Fax Number
person
Provider Business Mailing Address Details
Address
22 Bramhall St
City
Portland
State
Maine
Zip
04102
Phone Number
207-948-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP111064 (Maine)
Definition
Definition to come...
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