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Individual

MRS. JENIFER L MCKENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
417 STATE STREET, WEBBER WEST SUITE 141, BANGOR, ME 04401
(207) 973-4670
(207) 973-4669
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-4670
(207) 973-4669

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP121061
ME
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
CNP121061
ME

Other

Enumeration date
07/03/2012
Last updated
05/15/2020
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