Individual provider · Type 1 NPI

Jennie Lois Hersey, DC

Student in an Organized Health Care Education/Training Program · Portland, ME

NPI number 1992933196 Active

Practice location

949 Brighton Ave
Portland, ME 04102-1060

Call (207) 780-1070 Map

Fax (207) 780-1007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992933196

Jennie Lois Hersey, DC's National Provider Identifier is 1992933196, issued on Jun 25, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Jun 25, 2009.