Individual
JENNIFER M HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
92 CAMPUS DR STE D, SCARBOROUGH, ME 04074-7229
(207) 662-8900
Mailing address
92 CAMPUS DR STE D, SCARBOROUGH, ME 04074-7229
(207) 662-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3665
NH
363A00000X
Physician Assistant
Primary
PA001227
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089883
—
NH
Enumeration date
12/02/2010
Last updated
06/24/2026
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