JANE GALLAUDET WILSON


Address: 74 Baribeau Dr, Brunswick, ME 04011-3218
Phone: 2077984050

JANE GALLAUDET WILSON (NPI# 1760813430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760813430
Entity Type Individual
Full Name JANE GALLAUDET WILSON
Credential NP-C
Practice Address 74 Baribeau Dr
Brunswick
ME 04011-3218
Mailing Address Po Box 9746
Portland
ME 04104-5040
Practice Telephone 2077984050
Mailing Telephone 2077993888
Enumeration Date 2013-12-06
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN59802 ME Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP131041 ME Physician Assistants & Advanced Practice Nursing Providers

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1487814828 Jane Elspeth Wilson Mechanotherapist 39 Burtis St, Portsmouth, VA 23702-2703 2008-06-10
1659375335 Jane Ellen Wilson Pediatrics 5550 S East St, Ste.i, Indianapolis, IN 46227-1979 2005-06-09
1972142008 Jane Wilson Social Worker 10005 24th St E, Edgewood, WA 98371-2130 2020-01-07
1720257991 Jane Ellen Wilson Family Medicine 900 Caton Ave, Mailbox 081, Baltimore, MD 21229-5201 2008-02-21
1356528467 Jane Lewis Wilson Occupational Therapist 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 2008-01-31
1306037965 Jane Marie Wilson Dietitian, Registered 8001 Franklin Farms Dr, Suite 215, Richmond, VA 23229-5108 2007-08-07
1790976017 Jane Elizabeth Wilson Counselor 506 W Lincoln Ave, Suite 1000, Charleston, IL 61920-2453 2007-08-05
1174686646 Jane Marie Wilson Nurse Practitioner 4502 Medical Dr, San Antonio, TX 78229-4402 2006-12-18

Office Location

Street Address 74 BARIBEAU DR
City BRUNSWICK
State ME
Zip Code 04011-3218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902886872 Alyssa Goodwin Pediatrics 74 Baribeau Dr, Brunswick, ME 04011-3218 2006-01-18
1982269213 Brenna Clavette Physician Assistant 74 Baribeau Dr, Brunswick, ME 04011-3218 2019-05-02
1205215589 Sarah Muir Kennedy Registered Nurse 74 Baribeau Dr, Brunswick, ME 04011-3218 2015-05-20
1861804478 Nubia Alexandra Calabi Pediatrics 74 Baribeau Dr, Brunswick, ME 04011-3218 2014-05-30
1053723007 Sarah Katrina Sedney Pediatrics 74 Baribeau Dr, Brunswick, ME 04011-3218 2014-05-27
1205248358 Lauren Jamele-townley Pediatrics 74 Baribeau Dr, Brunswick, ME 04011-3218 2014-05-23
1033545629 Renee M Powers Nurse Practitioner 74 Baribeau Dr, Brunswick, ME 04011-3218 2013-09-16
1912346958 Jamie-eve Bullock Nurse Practitioner 74 Baribeau Dr, Brunswick, ME 04011-3218 2013-06-24
1932547668 Christine Bender Pediatrics 74 Baribeau Dr, Brunswick, ME 04011-3218 2013-06-04
1821377466 Katharine Potter Nurse Practitioner 74 Baribeau Dr, Brunswick, ME 04011-3218 2011-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013515790 Jana H Christman Nurse Practitioner 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 2020-10-14
1265030563 Christie Tolbert Nurse Practitioner 156 Banks Dr, Brunswick, GA 31523-6205 2020-10-09
1417577800 Chahnaz El Jaouhari Nurse Practitioner 500 Westchester Dr, Brunswick, OH 44212-1868 2020-04-25
1982235370 Kristy Chesser Nurse Practitioner 2500 Starling St Ste 602, Brunswick, GA 31520-4271 2020-02-04
1861031023 Mark Ryan Wylie Nurse Practitioner 112 Palmera Ln, Brunswick, GA 31525-3032 2020-01-05
1548738107 Ruth Sroka Nurse Practitioner 4000 Sherwood Dr, Brunswick, OH 44212-2652 2018-11-12
1669949251 Jennifer Erika Stuver Nurse Practitioner 46 Skyview Dr, Brunswick, OH 44212-1204 2018-11-01
1124514120 Holly Rae Logan Nurse Practitioner 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668 2018-07-03
1780187120 Pamela Mesowski Hinson Nurse Practitioner 105 Clipper Bay Rd, Brunswick, GA 31523-8936 2018-03-12
1174039481 Rachel Raney Weaver-hall Nurse Practitioner 209 Prior Ave, Brunswick, GA 31525-2326 2017-12-21
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Competitor

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City BRUNSWICK
Zip Code 04011

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Dataset Information

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.

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