Individual
DR. JAMES ANTHONY JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD22808
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255642948
—
ME
Enumeration date
06/28/2010
Last updated
06/11/2019
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