Individual
JENNIFER M REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 WALKER ST, KITTERY, ME 03904-1727
(781) 665-7557
(781) 662-2957
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-2478
(207) 351-2216
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2269992
MA
363LP2300X
Primary Care Nurse Practitioner
CNP171013
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107630
—
ME
Enumeration date
08/14/2012
Last updated
07/21/2022
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