Individual
JESSICA H WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
22 BRAMHALL ST, DEPT OF CARDIAC SERVICES, PORTLAND, ME 04102-3134
(207) 662-2413
Mailing address
22 BRAMHALL ST, DEPT OF CARDIAC SERVICES, PORTLAND, ME 04102-3134
(207) 662-2414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP081946
ME
Other
Enumeration date
09/12/2008
Last updated
09/19/2011
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