Porter, Jessica C

Porter, Jessica C is an individual health care provider with primary practice located at 735 Wilson St , Brewer ME 04412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porter, Jessica C can be contacted via phone (207) 947-0768.

Contact Information

Primary practice address
735 Wilson St Brewer ME 04412
Phone: (207) 947-0768
Fax: (207) 947-0699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP091010 Maine

Profile Details

NPI number 1518105543
LBN Legal business name Porter, Jessica C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Jun 22nd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518105543 NPPES
Maine Other MM9086 MEDICARE GROUP NUMBER
Maine Other AP091010 MEDICARE GROUP NUMBER
Maine Other APN0000013628 MEDICARE GROUP NUMBER
Maine MEDICAID 433873199 MEDICARE GROUP NUMBER

Popular Providers