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Individual

JACQUELYN ANN NOCELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 661-4302
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 661-4302

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67840
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP251298
ME
363LC0200X
Critical Care Medicine Nurse Practitioner
CNP251298
ME
363LG0600X
Gerontology Nurse Practitioner
CNP251298
ME

Other

Enumeration date
04/17/2025
Last updated
08/06/2025
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