Jenkins, Constance I

Jenkins, Constance I is an individual health care provider with primary practice located at 1012 Union St , Bangor ME 04401. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Jenkins, Constance I can be contacted via phone (207) 945-5247.

Contact Information

Primary practice address
1012 Union St Bangor ME 04401
Phone: (207) 945-5247
Fax: (207) 990-1248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R040922 Maine
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X AP081618 Maine

Profile Details

NPI number 1750578092
LBN Legal business name Jenkins, Constance I
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Oct 31st, 2011 - about 13 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 1750578092 NPPES
Maine MEDICAID 432692699

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