Individual
MR. JEFFREY W LOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
250 MAIN ST STE 201, MONTPELIER, VT 05602-4257
(802) 828-1234
(802) 828-1221
Mailing address
250 MAIN ST STE 201, MONTPELIER, VT 05602-4257
(802) 828-1234
(802) 828-1221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0097231
VT
163W00000X
Registered Nurse
R055703
ME
363LF0000X
Family Nurse Practitioner
Primary
101.0095764
VT
363LF0000X
Family Nurse Practitioner
AP101078
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0095764
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101.0095764
VERMONT BOARD OF NURSING
VT
01
—
AP101078
ANP
ME
01
—
R055703
RN
ME
Enumeration date
12/29/2010
Last updated
12/19/2025
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