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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R050975 (ME) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CNP131110 (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.