Active NPIIndividual provider

Mrs. Stephanie B Pemberton, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Rockport, Maine

NPI Number1205287513
Practice location
6 Glen Cove Dr, Rockport, ME 04856-4272
Fax
—
Last updated
November 30, 2021

Stephanie B. Pemberton is a Nurse Practitioner, Psych/Mental Health based in Rockport, ME. Stephanie B. Pemberton practices in Rockport, ME and has the professional credentials of PMHNP-BC. The NPI Number for Stephanie B. Pemberton is 1205287513 and holds a License No. 28174681A (IN). The current practice location address for Stephanie B. Pemberton is 6 Glen Cove Dr, Rockport, ME 04856-4272 and can be reached out via phone at 207-301-8000.

Provider Profile Details

NPI Number
1205287513
Provider Name
Stephanie B. Pemberton
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6 Glen Cove Dr, Rockport, ME 04856-4272
Phone Number
207-301-8000
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2016
Last Update Date
November 30, 2021
Certification Date
November 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
State
Maine
Zip
04856-4272
Phone Number
207-301-8000
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
City
Rockport
State
ME
Zip
04856-4272

License Information

License Number (1)
28174681A
License State (1)
IN
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
CNP211489
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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. Stephanie B Pemberton, PMHNP-BC?

The NPI number of Mrs. Stephanie B Pemberton, PMHNP-BC is 1205287513. It was assigned on June 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephanie B Pemberton, PMHNP-BC?

Mrs. Stephanie B Pemberton, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in IN under license number 28174681A.

Where does Mrs. Stephanie B Pemberton, PMHNP-BC practice?

The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4272. The office can be reached at 207-301-8000 (phone).

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 1205287513 directly on the NPPES registry website.

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