Provider Demographics
NPI:1851183511
Name:VACHON, JOCELYN (LPN)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:VACHON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:S PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2647
Mailing Address - Country:US
Mailing Address - Phone:207-630-6830
Mailing Address - Fax:
Practice Address - Street 1:127 MAIN ST
Practice Address - Street 2:
Practice Address - City:S PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2647
Practice Address - Country:US
Practice Address - Phone:207-630-6830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELPN14903164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse