Jessica Lee Gyles, RN
Individual provider Active NPI Registered Nurse · Fairfield, ME
NPI 1700633153 · NPPES record last updated May 3, 2024
Key facts
- NPI
- 1700633153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN82407 (ME)
- Practice address
- 121 Main St
Fairfield, ME 04937-1528 - Phone
- (207) 859-3165
- NPI assigned
- May 3, 2024
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN82407 | ME | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN82407 | ME | Yes |
Addresses
Primary practice location
121 Main St
Fairfield, ME 04937-1528
Mailing address
121 Main St
Fairfield, ME 04937-1528
Phone (207) 859-3165
Other providers in Fairfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.