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Contact Information

JENNIFER L REARDON, FNP
193 BATH RD
BRUNSWICK, ME04011-2607
 Phone: 207-424-2272
 Fax: 207-424-2268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Home Health

163WH0200X
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for JENNIFER L REARDON · (Female)

NPI # 1902405582
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/23/2020
Last updated 11/06/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • ME License # CNP241693
  • OR License # 10000620
  • OR License # 200441874
  • WA License # 60699055
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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