NPI 1376479626 · live from the CMS NPI Registry
Luke S Jackson, Critical Care RN
Registered Nurse, Flight in Lewiston, ME. National Provider Identifier 1376479626, active.
NPI record
| NPI | 1376479626 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Flight 163WF0300X |
| Practice location | 300 Main St, Lewiston, ME 04240 |
| Practice phone | 207-275-2961 |
| Mailing address | 189 Odlin Rd, Bangor, ME 04401 |
| Enumerated | June 23, 2026 |
| Last updated | June 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Technician, Paramedic | 146L00000X | 30299 (ME) |
| Registered Nurse, Flight primary | 163WF0300X | RN79258 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.