Individual
JODIE L TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1321 WASHINGTON AVENUE, SUITE 310, PORTLAND, ME 04103-3675
(207) 780-6565
(207) 878-6565
Mailing address
22 W COLE RD, STE 101, BIDDEFORD, ME 04005-9431
(207) 780-6565
(207) 878-6565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R049271
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432341199
—
ME
Enumeration date
08/31/2006
Last updated
11/02/2017
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