Healthcare Provider Details

I. General information

NPI: 1598488835
Provider Name (Legal Business Name): SARAH LEE TESSIER-ROY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TURKEY LN
TURNER ME
04282-3110
US

IV. Provider business mailing address

PO BOX 116
TURNER ME
04282-0116
US

V. Phone/Fax

Practice location:
  • Phone: 207-200-4485
  • Fax: 207-679-0826
Mailing address:
  • Phone: 207-200-4485
  • Fax: 207-679-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP221422
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: