84 MARGINAL WAY STE 700
PORTLAND, ME 04101-2481 US PECOS Enrolled
Jessica Nelson Reade Johnson
Nurse Practitioner
- PORTLAND, ME
- Phone: (207)-774-5816
- Last Updated 4/5/2023
Overview
Jessica Nelson Reade Johnson is a Nurse Practitioner in the PORTLAND area. Jessica Nelson Reade Johnson primary office location is at 84 MARGINAL WAY STE 700 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164137493 and the information was updated approximately 1 year ago.
Jessica Nelson Reade Johnson is affiliated with one medical group in the PORTLAND area, INTERMED PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| CNP221661 | ME |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner - Taxonomy Code 363L00000X | ME | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20230406000945 |
| PECOS Individual PAC ID: | 9133594021 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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