Provider Demographics
NPI:1114279163
Name:GIGUERE, JENNIFER L (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:GIGUERE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 HARTLAND RD
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:ME
Mailing Address - Zip Code:04924
Mailing Address - Country:US
Mailing Address - Phone:207-612-1230
Mailing Address - Fax:
Practice Address - Street 1:659 HARTLAND RD
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:ME
Practice Address - Zip Code:04924-3110
Practice Address - Country:US
Practice Address - Phone:207-612-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER055021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse