Individual
JANE G. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
112 SANFORD RD, SUITE 2A, WELLS, ME 04090-5533
(207) 641-8044
(207) 854-1516
Mailing address
15 HOSPITAL DR, MEDICAL STAFF OFFICE, YORK, ME 03909-1011
(207) 351-2478
(207) 351-2153
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
048539
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010212444
TAX ID #
ME
01
—
100142
ANTHEM
ME
01
—
1154430023
INDIVIDUAL NPI #
ME
01
—
1699860270
GROUP NPI #
ME
05
—
432036099
—
ME
Enumeration date
08/30/2006
Last updated
12/08/2009
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