Individual
JILL PERRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
AP081651
ME
363LP0200X
Pediatric Nurse Practitioner
AP081651
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416340099
—
ME
Enumeration date
09/13/2006
Last updated
12/03/2013
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