Individual provider · Type 1 NPI

Jane Kristine Vaillancourt, PA-C

Surgical Physician Assistant · Scarborough, ME

NPI number 1710924600 Active

Practice location

92 Campus Dr Ste A
Scarborough, ME 04074-7229

Fax (207) 885-5851

Other practice locations

  • Maine Medical Center, 22 Bramhall St., Portland, ME 04102 · (207) 885-0011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA609 (ME)
Surgical Physician Assistant Primary 363AS0400XPA609 (ME)

Surgical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1710924600

Jane Kristine Vaillancourt, PA-C's National Provider Identifier is 1710924600, issued on Jun 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Scarborough, ME. The record was last updated on Mar 20, 2025.