Individual
JESSICA ALICEA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
417 STATE ST STE 400, BANGOR, ME 04401-6690
(207) 942-6096
(207) 973-8857
Mailing address
417 STATE ST STE 400, BANGOR, ME 04401-6690
(207) 942-6096
(207) 973-8857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211282
ME
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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