Individual provider · Type 1 NPI

Jaclyn Kimberly Foraker, FNP-C

Family Nurse Practitioner · Bangor, ME

NPI number 1073139465 Active

Practice location

360 Broadway
Bangor, ME 04401-3979

Fax (207) 907-1888

Mailing address

C/o St Marys Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291

Other practice locations

  • 19 North St, Presque Isle, ME 04769-2240 · (207) 768-4568
  • 10 Washington St, Waterville, ME 04901-4315 · (207) 861-5731
  • 360 Broadway, Bangor, ME 04401-3979 · (207) 907-1155
  • 195 Fore River Pkwy, Portland, ME 04102-2780 · (207) 879-3466
  • 885 Union St Ste 215, Bangor, ME 04401-3092 · (207) 973-7380
  • 125 Main St, Pittsfield, ME 04967-4364 · (207) 487-3726
  • 32 Resort Way, Ellsworth, ME 04605-1717 · (844) 975-4584

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP201144 (ME)
Occupational Health Nurse Practitioner 363LX0106XCNP201144 (ME)

Family Nurse Practitioner: Definition to come...

84 other providers at this address

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About NPI 1073139465

Jaclyn Kimberly Foraker, FNP-C's National Provider Identifier is 1073139465, issued on Jun 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bangor, ME. The record was last updated on Feb 21, 2022.