Healthcare Provider Details

I. General information

NPI: 1669059614
Provider Name (Legal Business Name): JESSICA ANN WEEKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SPRINGBROOK DR
BIDDEFORD ME
04005-9443
US

IV. Provider business mailing address

2 SPRINGBROOK DR
BIDDEFORD ME
04005-9443
US

V. Phone/Fax

Practice location:
  • Phone: 844-292-0111
  • Fax: 207-282-2581
Mailing address:
  • Phone: 844-292-0111
  • Fax: 207-282-2581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number060-0005397
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD30549
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD30549
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: