Madore, Jenifer L

Madore, Jenifer L is an individual health care provider with primary practice located at 100 Campus Ave Suite 104, Lewiston ME 04240-6040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Madore, Jenifer L can be contacted via phone (207) 777-4100.

Contact Information

Primary practice address
100 Campus Ave Suite 104 Lewiston ME 04240-6040
Phone: (207) 777-4100
Fax: (207) 777-8994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81462 Maine

Profile Details

NPI number 1356437453
LBN Legal business name Madore, Jenifer L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 9th, 2017 - about 7 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 1356437453 NPPES
Maine MEDICAID 25878099

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