Individual
DR. JENNIFER BUPP MEKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
895 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 791-3888
Mailing address
9 PHEASANT HILL RD, PORTLAND, ME 04107-9661
(615) 260-7921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036164336
IL
207P00000X
Emergency Medicine Physician
Primary
12405
NV
207P00000X
Emergency Medicine Physician
213661
NY
207P00000X
Emergency Medicine Physician
MD0000035391
TN
207P00000X
Emergency Medicine Physician
MD24057
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
213661
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35391
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510701
—
TN
05
—
4054654
—
TN
01
—
4215248
BCBS-TN
TN
Enumeration date
12/01/2006
Last updated
05/29/2025
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