Individual
JODIE B KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, FNP-C
Contact information
Practice address
5 PIXIE GRV, FREEPORT, ME 04032-6913
(207) 615-6313
(207) 543-4207
Mailing address
PO BOX 195, FREEPORT, ME 04032-0195
(207) 615-6313
(207) 543-4207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP121018
ME
367A00000X
Advanced Practice Midwife
AM112009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568799831
NPI
MA
01
—
1568799831
NPI
ME
05
—
1568799831
—
ME
Enumeration date
11/07/2009
Last updated
12/05/2022
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