Individual
JENNIFER A. LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
84 MARGINAL WAY, SUITE 700, PORTLAND, ME 04101
(207) 774-5816
(207) 523-8597
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA177
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284210099
—
ME
Enumeration date
04/20/2006
Last updated
04/09/2026
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