NPI 1750578092 · live from the CMS NPI Registry
Constance I Jenkins, PMHNP
Registered Nurse, Psych/Mental Health, Adult in Bangor, ME. National Provider Identifier 1750578092, active.
NPI record
| NPI | 1750578092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 1012 Union St, Bangor, ME 04401 |
| Practice phone | 207-945-5247 |
| Mailing address | Po Box 1599, Bangor, ME 04402 |
| Enumerated | October 1, 2007 |
| Last updated | October 31, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | R040922 (ME) |
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | AP081618 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.