| Jennifer Lynne Shaw, FNP-BC | |
|
50 Marquis Rd, Freeport, ME 04032-6477 | |
| (207) 865-6131 | |
| (207) 865-9399 |
| Full Name | Jennifer Lynne Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 50 Marquis Rd, Freeport, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417104415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R046946 (Maine) | Primary |
| Entity Name | Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
| Entity Name | Nes Medical Services Of New England Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396401907 PECOS PAC ID: 6204229669 Enrollment ID: O20220322000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynne Shaw, FNP-BC 50 Marquis Rd, Freeport, ME 04032-6477 Ph: (207) 865-6131 | Jennifer Lynne Shaw, FNP-BC 50 Marquis Rd, Freeport, ME 04032-6477 Ph: (207) 865-6131 |
Melanie R Small, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Campus Dr, Freeport, ME 04033 Phone: 207-523-8550 | |
Catherine Tarpy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Marquis Rd, Freeport, ME 04032 Phone: 207-865-6131 Fax: 207-865-9399 | |
Elena Bell Wagner, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Durham Rd, Suite 303, Freeport, ME 04032 Phone: 207-869-4002 Fax: 207-869-4077 | |
Brenda E Sands, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Marquis Rd, Freeport, ME 04032 Phone: 207-865-6131 Fax: 207-865-0581 | |
Nan J Boucher, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Marquis Rd, Freeport, ME 04032 Phone: 207-865-6131 Fax: 207-865-9399 | |
Linda F Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Marquis Rd, Freeport, ME 04032 Phone: 207-865-6131 Fax: 207-865-9399 |