Jamie Dawn Bannister, APRN-CNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Biddeford, ME

NPI 1093316796 · NPPES record last updated Oct 25, 2022

Key facts

NPI
1093316796
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
CNP221277 (ME)
Practice address
409 Alfred St Ste 4-5
Biddeford, ME 04005-3756
Phone
(207) 346-5807
NPI assigned
Nov 8, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN61568MEMDPsychiatric/Mental Health Registered Nurse
CNP221277MEMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61568 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP221277 ME Yes

Addresses

Primary practice location

409 Alfred St Ste 4-5
Biddeford, ME 04005-3756

Mailing address

317 Turner St
Auburn, ME 04210-6038
Phone (207) 577-9426

Other practice location 1

317 Turner St
Auburn, ME 04210-6038
Phone (207) 577-9426

Other providers in Biddeford, ME

All providers in Biddeford, ME · Psychiatric/Mental Health Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.