Individual
JONATHAN BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
410 ROOSEVELT TRL, NAPLES, ME 04055-5329
(207) 693-6106
Mailing address
61 MAIN ST, WINDHAM, ME 04062-4292
(207) 577-4846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211160
ME
Other
Enumeration date
06/25/2022
Last updated
09/08/2023
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