Individual
JOSELYN M ABERNETHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP-BC
Contact information
Practice address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
Mailing address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN78698
ME
363L00000X
Nurse Practitioner
003871
CT
363L00000X
Nurse Practitioner
Primary
CNP211086
ME
363LA2100X
Acute Care Nurse Practitioner
101.0102069
VT
363LA2100X
Acute Care Nurse Practitioner
431307
NY
363LA2100X
Acute Care Nurse Practitioner
COA.10782-NP
OH
363LA2100X
Acute Care Nurse Practitioner
F431307-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP211086
STATE LICENSURE
ME
Enumeration date
08/22/2008
Last updated
11/29/2021
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