Individual
JASON A AUCOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
49 SPRING ST, 2ND FLOOR, SCARBOROUGH, ME 04074-8926
(207) 883-1414
(207) 883-1010
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81108
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432127899
—
ME
Enumeration date
10/03/2006
Last updated
04/27/2017
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