JENNIFER LEE MALMBORG (NPI# 1063918241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063918241 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE MALMBORG |
| Credential | RN-BSN |
| Practice Address |
3 Mountainview Dr Fort Kent ME 04743-1614 |
| Practice Telephone | 2078343971 |
| Practice Fax Number | 2078343837 |
| Mailing Telephone | 2078343971 |
| Mailing Fax Number | 2078343837 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN54077 | ME | Nursing Service Providers |
| Street Address |
3 MOUNTAINVIEW DR |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063677987 | Lisa H. Martin | Nurse Practitioner | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2008-07-21 |
| 1770086142 | Sherrie Lee Pelletier | Registered Nurse | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2018-03-13 |
| 1437511698 | Joanne O'leary | Registered Nurse | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2016-03-25 |
| 1023329000 | Cameron Grange | Family Medicine | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386201689 | Nicole Marie Theriault | Registered Nurse | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2019-05-22 |
| 1770086142 | Sherrie Lee Pelletier | Registered Nurse | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999694 | Brittney Ibbitson | Registered Nurse | 16 Page Terrace, Hinckley, ME 04944 | 2020-07-16 |
| 1982837399 | Rhonda B Loveitt | Registered Nurse | 27 Maple Ridge Rd, Gorham, ME 04038-2285 | 2009-09-01 |
| 1174767784 | Healthy Futures, Inc | Registered Nurse | 72 Main St., Suite A, Winthrop, ME 04364-1406 | 2009-04-27 |
| 1043247828 | Perry Chet Goldstein | Registered Nurse | 647 Us Route 1, #14149, York, ME 03909-1689 | 2006-06-27 |
| 1316594096 | Kraig Michael Burbine | Registered Nurse | 118 Moosehead Trl Ste 5, Newport, ME 04953-4056 | 2019-08-19 |
| 1881249779 | Laura Mae Bouchard | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2019-08-07 |
| 1639739139 | Tammy Estabrook Acker | Registered Nurse | 30 Belgrade Ave Ste A, Auburn, ME 04210-4096 | 2019-06-17 |
| 1407346919 | Amber D Sloat | Registered Nurse | 529 S Patten Rd, Patten, ME 04765-3007 | 2018-05-10 |
| 1790179547 | Crystal Fortin | Registered Nurse | 15 E Chestnut St, Augusta, ME 04330-5736 | 2015-03-18 |
| 1174648299 | Lori B Jacques | Registered Nurse | 93 Campus Avenue, Case Management Department, Lewiston, ME 04240 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.