Organization
HELLO IN THERE IN HOME PRIMARY CARE PLLC
Active
Organization
HELLO IN THERE IN HOME PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE TOMPKINS APRN (OWNER)
(207) 615-6640
Entity
Organization
Contact information
Practice address
62 DAWSON ST, SOUTH PORTLAND, ME 04106-3413
(207) 615-6640
Mailing address
62 DAWSON ST, SOUTH PORTLAND, ME 04106-3413
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP81791
MAIN STATE BOARD OF NURSING
ME
Enumeration date
05/18/2021
Last updated
09/23/2021
Update your record
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