Individual
JESSICA COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
156 WALNUT HILL RD, NORTH YARMOUTH, ME 04097-6516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223061
ME
Other
Enumeration date
05/28/2020
Last updated
02/16/2026
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