Individual
MS. JENIFER L MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 CAMPUS AVE, SUITE 104, LEWISTON, ME 04240-6040
(207) 777-4100
(207) 777-8994
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81462
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25878099
—
ME
Enumeration date
10/05/2006
Last updated
03/09/2017
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