Individual
JESSICA LYN KROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
315 HATCHET MOUNTAIN RD, HOPE, ME 04847-3057
(207) 200-7319
(207) 503-6070
Mailing address
400 CONGRESS STREET, PO BOX 7577, PORTLAND, ME 04101
(207) 200-7319
(207) 503-6070
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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