Gagne, Jill L

Gagne, Jill L is an individual health care provider with primary practice located at 9 Healthcare Dr Suite 105, Biddeford ME 04005-9449. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gagne, Jill L can be contacted via phone (207) 282-3666.

Contact Information

Primary practice address
9 Healthcare Dr Suite 105 Biddeford ME 04005-9449
Phone: (207) 282-3666
Fax: (207) 282-4281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP121009 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP121009 Maine

Profile Details

NPI number 1306111596
LBN Legal business name Gagne, Jill L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306111596 NPPES
Maine MEDICAID 1306111596
Maine Other 1306111596

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