Individual provider · Type 1 NPI

Jessie Sherwood Nault, GNP

Gerontology Nurse Practitioner · Portland, ME

NPI number 1740512813 Active

Practice location

66 Bramhall St
Portland, ME 04102-3344

Fax (207) 662-4257

Mailing address

301C US Route 1
Scarborough, ME 04074-9701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR050975 (ME)
Gerontology Nurse Practitioner Primary 363LG0600XCNP131110 (ME)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740512813

Jessie Sherwood Nault, GNP's National Provider Identifier is 1740512813, issued on Feb 1, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, ME. The record was last updated on May 11, 2018.