MRS. JESSIE SHERWOOD NAULT GNP NPI 1740512813

NPI Information

NPI: 1740512813
Provider Name: MRS. JESSIE SHERWOOD NAULT, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: MAINE MEDICAL PARTNERS

PECOS Registration: Yes

Address:
66 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-3157
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MRS. Jessie Sherwood Nault, GNP is a gerontology nurse practitioner in Portland, ME with 11 years of experience. MRS. Jessie Sherwood Nault, GNP NPI is 1740512813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2013

The provider's business location address is:

66 BRAMHALL ST
PORTLAND, ME
ZIP 04102-344
Phone: (207) 662-3157
Fax: (207) 662-4257

The NPI 1740512813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2010 and was last updated on 5/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R050975	MAINE	No
2	363LG0600X	Nurse Practitioner	Gerontology	CNP131110	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R050975	OTHER	MAINE	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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