Individual
JILL L GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9 HEALTHCARE DR, SUITE 105, BIDDEFORD, ME 04005-9449
(207) 282-3666
(207) 282-4281
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP121009
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP121009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306111596
ANTHEM
ME
05
—
1306111596
—
ME
Enumeration date
03/20/2012
Last updated
03/11/2019
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