Individual
ANDREA JERGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5101
(207) 872-4341
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 869-5977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17679
CA
207Q00000X
Family Medicine Physician
DO2796
ME
Other
Enumeration date
06/10/2014
Last updated
11/11/2024
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