- Practice location
- 242 Brunswick St, Old Town, ME 04468-1613
- Phone
- 207-827-6128
- Fax
- 207-827-6605
- Last updated
- January 12, 2024
Jill M Bouchard is a Nurse Practitioner, Adult Health based in Old Town, ME. Jill M Bouchard practices in Old Town, ME and has the professional credentials of ANPC. The NPI Number for Jill M Bouchard is 1255714275 and holds a License No. CNP211360 (ME). The current practice location address for Jill M Bouchard is 242 Brunswick St, Old Town, ME 04468-1613 and can be reached out via phone at 207-827-6128 and via fax at 207-827-6605.
Provider Profile Details
- NPI Number
- 1255714275
- Provider Name
- Jill M Bouchard
- Credential
- ANPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 242 Brunswick St, Old Town, ME 04468-1613
- Phone Number
- 207-827-6128
- Fax Number
- 207-827-6605
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 8, 2015
- Last Update Date
- January 12, 2024
- Certification Date
- January 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 242 Brunswick St
Old Town, ME 04468-1613 - City
- Old Town
- State
- Maine
- Zip
- 04468-1613
- Phone Number
- 207-827-6128
- Fax Number
- 207-827-6605
Provider Business Mailing Address Details
- Address
- Po Box 1599
Bangor, ME 04402-1599 - City
- Bangor
- State
- ME
- Zip
- 04402-1599
- Phone Number
- 207-404-8200
- Fax Number
- 207-947-0435
License Information
- License Number
- CNP211360
- License State
- ME
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jill M Bouchard, ANPC?
The NPI number of Jill M Bouchard, ANPC is 1255714275. It was assigned on July 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Jill M Bouchard, ANPC?
Jill M Bouchard, ANPC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in ME under license number CNP211360.
Where does Jill M Bouchard, ANPC practice?
The practice location is 242 Brunswick St, Old Town, ME 04468-1613. The office can be reached at 207-827-6128 (phone) or 207-827-6605 (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 1255714275 directly on the NPPES registry website.