Provider Demographics
NPI:1154430023
Name:ADAMS, JANE G (APRN-BC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APRN-BC
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Mailing Address - Street 1:15 HOSPITAL DR
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1011
Mailing Address - Country:US
Mailing Address - Phone:207-351-2478
Mailing Address - Fax:207-351-2153
Practice Address - Street 1:112 SANFORD RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-5533
Practice Address - Country:US
Practice Address - Phone:207-641-8044
Practice Address - Fax:207-854-1516
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME048539363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME010212444OtherTAX ID #
ME1699860270OtherGROUP NPI #
ME432036099Medicaid
ME100142OtherANTHEM
ME1154430023OtherINDIVIDUAL NPI #
MENP5222Medicare PIN
ME010212444OtherTAX ID #