Individual
JESSIE BODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
265 TRIPP LAKE RD, POLAND, ME 04274-7120
(207) 441-4976
Mailing address
265 TRIPP LAKE RD, POLAND, ME 04274-7120
(207) 441-4976
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN56255
ME
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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