Provider Demographics
NPI:1003841727
Name:BUTTERFIELD, JEAN RANKIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:RANKIN
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEANIE
Other - Middle Name:RANKIN
Other - Last Name:BUTTERFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:104 GREEN MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-9017
Mailing Address - Country:US
Mailing Address - Phone:207-321-1685
Mailing Address - Fax:
Practice Address - Street 1:2719 N AIR FRESNO DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1547
Practice Address - Country:US
Practice Address - Phone:559-600-8918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158244208000000X, 2084P0800X
CAG1751202084P0800X, 2084P0804X
NY3107302084P0804X
ME0154342084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME326100099Medicaid
ME326100099Medicaid
MEG74836Medicare UPIN