- Practice location
- 181 Corporate Dr, Bangor, ME 04401-4314
- Phone
- 207-992-2636
- Fax
- 207-992-2637
- Last updated
- August 19, 2021
Jeyashree M Boardway is a Physician Assistant based in Bangor, ME. Jeyashree M Boardway practices in Bangor, ME and has the professional credentials of PAC. The NPI Number for Jeyashree M Boardway is 1417441544 and holds a License No. PA1823 (ME). The current practice location address for Jeyashree M Boardway is 181 Corporate Dr, Bangor, ME 04401-4314 and can be reached out via phone at 207-992-2636 and via fax at 207-992-2637.
Provider Profile Details
- NPI Number
- 1417441544
- Provider Name
- Jeyashree M Boardway
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 181 Corporate Dr, Bangor, ME 04401-4314
- Phone Number
- 207-992-2636
- Fax Number
- 207-992-2637
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2018
- Last Update Date
- August 19, 2021
- Certification Date
- August 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 181 Corporate Dr
Bangor, ME 04401-4314 - City
- Bangor
- State
- Maine
- Zip
- 04401-4314
- Phone Number
- 207-992-2636
- Fax Number
- 207-992-2637
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
- PA1823
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Bangor, ME
View all Physician Assistants in Bangor →- Alexandra H Ainsworth, PA-CPhysician Assistant · NPI 1194045153
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- Brian D Betthauser, PA-CPhysician Assistant · NPI 1679125272
- Ethan S Caron, PACPhysician Assistant · NPI 1932763331
- Hannah B Billings, PACPhysician Assistant · NPI 1760971683
- Harsha M Chekuri, PA-CPhysician Assistant · NPI 1194587899
Frequently Asked Questions
What is the NPI number of Jeyashree M Boardway, PAC?
The NPI number of Jeyashree M Boardway, PAC is 1417441544. It was assigned on June 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Jeyashree M Boardway, PAC?
Jeyashree M Boardway, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1823.
Where does Jeyashree M Boardway, PAC practice?
The practice location is 181 Corporate Dr, Bangor, ME 04401-4314. The office can be reached at 207-992-2636 (phone) or 207-992-2637 (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 1417441544 directly on the NPPES registry website.