Individual provider · Type 1 NPI
Constance I. Jenkins, PMHNP
Adult Psychiatric/Mental Health Registered Nurse · Bangor, ME
NPI number
1750578092
Active
Practice location
1012 Union St
Bangor, ME 04401
Fax (207) 990-1248
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R040922 (ME) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | AP081618 (ME) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1750578092
Constance I. Jenkins, PMHNP's National Provider Identifier is 1750578092, issued on Oct 1, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Bangor, ME. The record was last updated on Oct 31, 2011.