Provider Demographics
NPI:1285038174
Name:SAGE, JOLINE (NP)
Entity Type:Individual
Prefix:
First Name:JOLINE
Middle Name:
Last Name:SAGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOLINE
Other - Middle Name:
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:16 DEPOT ST SUITE 300
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE FALLS
Mailing Address - State:ME
Mailing Address - Zip Code:04254
Mailing Address - Country:US
Mailing Address - Phone:207-897-4345
Mailing Address - Fax:207-897-2321
Practice Address - Street 1:16 DEPOT ST SUITE 300
Practice Address - Street 2:
Practice Address - City:LIVERMORE FALLS
Practice Address - State:ME
Practice Address - Zip Code:04254
Practice Address - Country:US
Practice Address - Phone:207-897-4345
Practice Address - Fax:207-897-2321
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP141108363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner