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Individual

JENELLE HAZZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
735 WILSON ST., BREWER, ME 04412
(207) 989-1567
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP161151
ME

Other

Enumeration date
10/19/2016
Last updated
05/06/2021
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