Provider Demographics
NPI:1043765274
Name:LOICHLE, JENNIFER (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LOICHLE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:178 HAROLD L DOW HWY SUITE 9
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-2047
Mailing Address - Country:US
Mailing Address - Phone:207-598-4552
Mailing Address - Fax:207-536-2441
Practice Address - Street 1:178 HAROLD L DOW HWY SUITE 9
Practice Address - Street 2:
Practice Address - City:ELIOT
Practice Address - State:ME
Practice Address - Zip Code:03903-2047
Practice Address - Country:US
Practice Address - Phone:207-598-4552
Practice Address - Fax:207-536-8191
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH074125-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3105757Medicaid