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Contact Information

JENNIFER A BURGESS, FNP-C
716 STEVENS AVE
PORTLAND, ME04103-2656
 Phone: 207-221-4242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER A BURGESS · (Female)

NPI # 1316465636
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 09/07/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CNP171078
  • ME License # RN61814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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