Individual
BAILEY JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
675 WESTBROOK ST, SOUTH PORTLAND, ME 04106-1930
(207) 822-2601
Mailing address
2269 ROUTE 109, ACTON, ME 04001-6010
(603) 767-6114
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP251148
ME
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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