Individual
JILLIAN CASSIDY MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN,
Contact information
Practice address
73 ELEANOR AVE, STANDISH, ME 04084-6613
(802) 825-5455
Mailing address
73 ELEANOR AVE, STANDISH, ME 04084-6613
(802) 825-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1647168
CO
163W00000X
Registered Nurse
Primary
RN78403
ME
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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