Individual
JENNA LEIGH THIBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
600 CENTER ST, AUBURN, ME 04210-6311
(207) 955-5565
(207) 955-5572
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12346725-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
CNP241179
ME
Other
Enumeration date
11/17/2023
Last updated
12/11/2024
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