Individual provider · Type 1 NPI
Lori B. Jacques, RN, CCM
Case Management Registered Nurse · Lewiston, ME
NPI number
1174648299
Active
Practice location
93 Campus Avenue, Case Management Department
Lewiston, ME 04240
Fax (207) 753-5488
Mailing address
Campus Avenue, PO Box 291, Case Management Department
Lewiston, ME 04243-0291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | R027612 (ME) |
Case Management Registered Nurse: Definition to come...
2 other providers at this address
Other case management registered nurse providers in Lewiston
About NPI 1174648299
Lori B. Jacques, RN, CCM's National Provider Identifier is 1174648299, issued on Mar 20, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Lewiston, ME. The record was last updated on Jul 8, 2007.