Individual
JENNIFER LYNN GASAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
33 WHITING HILL RD STE 21, BREWER, ME 04412-1006
(207) 973-7478
(207) 973-9463
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7478
(207) 973-9463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201083
ME
Other
Enumeration date
06/04/2020
Last updated
06/18/2020
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