| Constance W Jordan Anp Pmhnp Pllc | |
|
962 Shore Rd Cape Elizabeth ME 04107-1516 | |
| (207) 747-5958 | |
| Not Available |
| Full Name | Constance W Jordan Anp Pmhnp Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 962 Shore Rd, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Cheryl Mcatee-thornton (CREDENTIALING AGENT) |
| Authorized Official Contact | 2184524420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Constance W Jordan Anp Pmhnp Pllc 305 Commercial St Ste 103 Portland ME 04101-5625 Ph: (207) 747-5958 | Constance W Jordan Anp Pmhnp Pllc 962 Shore Rd Cape Elizabeth ME 04107-1516 Ph: (207) 747-5958 |
| NPI Number | 1770365272 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 7315388790 |
|---|---|
| Medicare Enrollment ID | O20240516001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770365272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Constance W Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518939032 PECOS PAC ID: 9335198639 Enrollment ID: I20050118000791 |
Cape Elizabeth Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Shore Rd, Cape Elizabeth, ME 04107 Phone: 207-799-4050 Fax: 207-799-4758 | |
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Max Health Maine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Shore Rd, Max Health Maine Llc, Cape Elizabeth, ME 04107 Phone: 207-699-0901 Fax: 207-699-0902 |