Individual
MS. JACQUELINE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
259 MAIN ST, YARMOUTH HEALTH CENTER, YARMOUTH, ME 04096
(207) 846-9013
(207) 523-8586
Mailing address
100 FODEN ROAD WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
024691
ME
Other
Enumeration date
03/30/2006
Last updated
11/16/2010
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