Individual
CHRISTOPHER OWEN JENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CTR, VAMC- TOGUS, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
150 METCALF RD, WINTHROP, ME 04364-3375
(207) 377-9012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP091044
ME
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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