Foraker, Jaclyn Kimberly

Foraker, Jaclyn Kimberly is an individual health care provider with primary practice located at 360 Broadway , Bangor ME 04401-3979. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Foraker, Jaclyn Kimberly can be contacted via phone (207) 907-1155.

Contact Information

Primary practice address
360 Broadway Bangor ME 04401-3979
Phone: (207) 907-1155
Fax: (207) 907-1888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP201144 Maine
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X CNP201144 Maine

Profile Details

NPI number 1073139465
LBN Legal business name Foraker, Jaclyn Kimberly
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Feb 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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