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).
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1023429297 | Jane C. Wilson | Specialist/Technologist | 4707 W Gandy Blvd Ste 12b, Tampa, FL 33611-3328 | 2014-05-09 |
| 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 |
| Street Address |
74 BARIBEAU DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3218 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in BRUNSWICK | ||||
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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.