- Practice location
- 895 Union St Ste 12, Bangor, ME 04401-3054
- Phone
- 207-973-7979
- Fax
- 207-947-9579
- Last updated
- July 21, 2022
Jordan Simone Beall is a Physician Assistant based in Bangor, ME. Jordan Simone Beall practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Jordan Simone Beall is 1689197469 and holds a License No. PA1733 (ME). The current practice location address for Jordan Simone Beall is 895 Union St Ste 12, Bangor, ME 04401-3054 and can be reached out via phone at 207-973-7979 and via fax at 207-947-9579.
Provider Profile Details
- NPI Number
- 1689197469
- Provider Name
- Jordan Simone Beall
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 895 Union St Ste 12, Bangor, ME 04401-3054
- Phone Number
- 207-973-7979
- Fax Number
- 207-947-9579
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 895 Union St Ste 12
Bangor, ME 04401-3054 - City
- Bangor
- State
- Maine
- Zip
- 04401-3054
- Phone Number
- 207-973-7979
- Fax Number
- 207-947-9579
Provider Business Mailing Address Details
- Address
- 43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006 - City
- Brewer
- State
- ME
- Zip
- 04412-1006
- Phone Number
- 207-973-5035
- Fax Number
- 207-973-5042
License Information
- License Number
- PA1733
- 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
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Frequently Asked Questions
What is the NPI number of Jordan S Beall, PA-C?
The NPI number of Jordan S Beall, PA-C is 1689197469. It was assigned on July 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Jordan S Beall, PA-C?
Jordan S Beall, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1733.
Where does Jordan S Beall, PA-C practice?
The practice location is 895 Union St Ste 12, Bangor, ME 04401-3054. The office can be reached at 207-973-7979 (phone) or 207-947-9579 (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 1689197469 directly on the NPPES registry website.