MEDICARE: MRS. JENNIFER CONSIGLIA MERCIER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN57682	ME

General Provider Information

NPI Number	:	1053377259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER CONSIGLIA MERCIER RN

Provider Business Mailing Address
First Line	:	108 RICKER RD
Second Line	:
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260-3248
Country	:	US
Telephone Number	:	207-926-4267
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 RICKER RD
Second Line	:
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260-3248
Country	:	US
Telephone Number	:	207-926-4267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	12/13/2012

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