JENNIE K MCNEIL (NPI# 1205105608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205105608 |
| Entity Type | Individual |
| Full Name | JENNIE K MCNEIL |
| Credential | RN-BC, FNP-BC |
| Practice Address |
964 Western Ave Manchester ME 04351-3406 |
| Practice Telephone | 2075128633 |
| Practice Fax Number | 8886880407 |
| Mailing Telephone | 2075128633 |
| Mailing Fax Number | 8886880407 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2014-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R039504 | ME | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP141065 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
964 WESTERN AVE |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336705839 | Rose-ann Cashema Richards | Nurse Practitioner | 34 Heather Ln, Manchester, CT 06040-6903 | 2019-05-10 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1386656858 | Hilarie Jones | Nurse Practitioner | 483 West Middle Tpke., Suite 300, Manchester, CT 08040 | 2006-08-13 |
| 1326506395 | Christopher Curtis King | Nurse Practitioner | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-03-07 |
| 1477028256 | Krista Nicole Bailey | Nurse Practitioner | 482 Interstate Dr Ste A, Manchester, TN 37355-3409 | 2018-10-09 |
| 1689179251 | Hanna Suzanne Lovelady | Nurse Practitioner | 585 Interstate Dr Ste B, Manchester, TN 37355-3191 | 2018-03-27 |
| 1770521098 | Georgina Katherine Morgan | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-06-02 |
| 1356305502 | Mary D Aboozia | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407240930 | Housecall4u | Nurse Practitioner | 347 N Bend Rd, Surry, ME 04684-3309 | 2015-03-23 |
| 1427060847 | Cathy A Bradley | Nurse Practitioner | 521 Main Street, Presque Isle, ME 04769 | 2006-08-13 |
| 1467469841 | Patricia Thompson Leavitt | Nurse Practitioner | 1013 Narragansett Trl, Buxton, ME 04093-6607 | 2006-08-01 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| 1255957007 | Kathryn Raymond | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2020-06-17 |
| 1790319457 | Eric K Shoaps | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2020-03-02 |
| 1528609567 | Brandon Woodman Howlett | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2019-10-01 |
| 1831751510 | Miriah Lee Deveau | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-07-02 |
| 1992277008 | Gem Health & Wellness | Nurse Practitioner | 169 Ocean St Ste 104, South Portland, ME 04106-3636 | 2018-12-31 |
| 1689177867 | Amber Nicole Grissom | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.