Individual provider · Type 1 NPI
Jennifer Lee Eilts-McKenney, NP, RN, LCPC
Psychiatric/Mental Health Nurse Practitioner · Portland, ME
NPI number
1780729954
Active
Practice location
165 Lancaster St
Portland, ME 04101-2406
Fax (207) 874-1044
Mailing address
78 Atlantic Pl
South Portland, ME 04106-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | CC2410 (ME) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP141074 (ME) |
| Registered Nurse | 163W00000X | RN59388 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780729954
Jennifer Lee Eilts-McKenney, NP, RN, LCPC's National Provider Identifier is 1780729954, issued on Feb 21, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Mar 30, 2015.