Individual provider · Type 1 NPI

Jane Gallaudet Wilson, NP-C

Family Nurse Practitioner · Brunswick, ME

NPI number 1760813430 Active

Practice location

114 Bath Rd
Brunswick, ME 04011-2606

Fax (207) 798-4452

Mailing address

PO Box 9746
Portland, ME 04104-5040

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN59802 (ME)
Family Nurse Practitioner Primary 363LF0000XCNP131041 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1760813430

Jane Gallaudet Wilson, NP-C's National Provider Identifier is 1760813430, issued on Dec 6, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brunswick, ME. The record was last updated on Oct 22, 2021.