Jennifer A. Landry in South Portland - Physician Assistant
Jennifer A. Landry - NPI 1790740835
Jennifer A. Landry is a Physician Assistant in South Portland, Maine. Jennifer A. Landry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer A. Landry is 1790740835. The last update date is 2013-12-09.
Jennifer A. Landry's current location address is 100 Foden Rd, West, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Jennifer A. Landry is 100 Foden Rd, West, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer A. Landry |
|---|---|
| Address | 100 Foden Rd, West, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790740835 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2013-12-09 |
Provider Mailing Address Detail
| Address | 100 Foden Rd, West |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062327 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA177 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 284210099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer A. Landry by the Centers for Medicare & Medicaid Services?
The Jennifer A. Landry has been assigned the NPI (National Provider Identifier) 1790740835. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer A. Landry's facilities are geographically located?
The facilities of Jennifer A. Landry are physically situated at the following location: 100 Foden Rd, West, South Portland, ME, 41062327.
What is the Jennifer A. Landry's area of specialization and corresponding taxonomy classification?
The Jennifer A. Landry's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790740835 to Jennifer A. Landry?
The Centers for Medicare & Medicaid Services originally issued the 1790740835 to Jennifer A. Landry on 2006-04-20.
When was the information pertaining to Jennifer A. Landry most recently updated or revised?
The details related to Jennifer A. Landry, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-09.
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