person
Mrs. Jessica C Porter, FNP
Family Nurse Practitioner in Brewer, Maine
NPI 1518105543

Jessica C Porter is a Family Nurse Practitioner based in Bangor, ME and is specialized in Family. Jessica C Porter practices in Brewer, ME and has the professional credentials of FNP. The NPI Number for Jessica C Porter is 1518105543 and holds a License No. AP091010 (Maine).

The current practice location address for Jessica C Porter is 735 Wilson St, Brewer, ME and can be reached out via phone at 207-947-0768 and via fax at 207-947-0699. You can also correspond with Jessica C Porter through the mailing address at PO BOX 1599, BANGOR, ME - 04402-1599 (mailing address contact number: 207-945-5247).

Location: 735 Wilson St, Brewer, ME, 04402-1599
person
Provider Profile Details
NPI Number
1518105543
Provider Name
Jessica C Porter
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
735 Wilson St, Brewer, ME, 04402-1599
Phone Number
207-947-0768
Fax Number
207-947-0699
Provider Enumeration Date
01/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MM9086 01 ME MEDICARE GROUP NUMBER
AP091010 01 ME LICENSE NUMBER MBON
APN0000013628 01 TN APRN LICENSE NUMBER
433873199 05 ME
institution
Provider Business Practice Location Address Details
Address
735 Wilson St
City
State
Zip
04412
Phone Number
207-947-0768
Fax Number
207-947-0699
person
Provider Business Mailing Address Details
Address
Po Box 1599
City
State
Zip
04402-1599
Phone Number
207-945-5247
Fax Number
207-947-0435
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP091010 (Maine)
Definition
Definition to come...
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