Individual
JAMIE S BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN64720
ME
163WG0600X
Gerontology Registered Nurse
CNP251309
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP251309
ME
363LF0000X
Family Nurse Practitioner
CNP251309
ME
Other
Enumeration date
03/11/2025
Last updated
07/08/2025
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