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Individual

JESSICA LYN KROL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN64471
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP211264
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2021015360
ANCC (FNP-C)
ME
01
CNP211264
MAINE STATE BOARD OF NURSING
ME
01
F06210742
AANP (FNP-BC)
ME
Enumeration date
06/16/2013
Last updated
12/01/2023
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