Individual
JENNIFER ASHLEY LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2297
Mailing address
102 SUMMIT TER APT 21, SOUTH PORTLAND, ME 04106-2208
(413) 378-0592
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN72753
ME
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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