Individual
JENNIFER K DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HARNOIS AVE, 2ND FLOOR, WESTBROOK, ME 04092-4392
(207) 661-3400
(207) 661-3401
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP131077
ME
Other
Enumeration date
08/13/2013
Last updated
04/27/2017
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