| Jennifer A Burgess, FNP-C | |
|
716 Stevens Ave, Portland, ME 04103-2656 | |
| (207) 221-4242 | |
| Not Available |
| Full Name | Jennifer A Burgess |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 716 Stevens Ave, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316465636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP171078 (Maine) | Primary |
| 163W00000X | Registered Nurse | RN61814 (Maine) | Secondary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Burgess, FNP-C Po Box 10475, Portland, ME 04104-0475 Ph: () - | Jennifer A Burgess, FNP-C 716 Stevens Ave, Portland, ME 04103-2656 Ph: (207) 221-4242 |
Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941 | |
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 | |
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478 | |
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006 | |
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257 | |
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 | |
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133 |