Individual
JAMIE SUE BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
Mailing address
273 JOY VALLEY RD, BUXTON, ME 04093-6234
(207) 332-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201088
ME
Other
Enumeration date
05/11/2020
Last updated
06/09/2020
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