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Individual

JESSIE DALEY EKLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
235 HIGH ST, ELLSWORTH, ME 04605-1715
(207) 412-5200
(207) 412-5201
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
XL4076
ME
163W00000X
Registered Nurse
RN73537
ME
363L00000X
Nurse Practitioner
Primary
CNP241652
ME

Other

Enumeration date
03/20/2013
Last updated
12/09/2024
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