Individual
MR. JASON CARLO LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
100 U.S. ROUTE 1, SCARBOROUGH, ME 04074
(207) 283-3640
(207) 883-1506
Mailing address
100 U.S. ROUTE 1, SCARBOROUGH, ME 04074
(207) 283-3640
(207) 883-1506
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
13528
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP091035
ME
Other
Enumeration date
08/30/2006
Last updated
10/14/2015
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