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
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