Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ODDLEIFSON, PA-C
ActiveJENNIFER ODDLEIFSON, PA-C is a Physician Assistant healthcare provider located in WALDOBORO, Maine. NPI 1013918036 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WALDOBORO, ME
Registration Details
- NPI Number
- 1013918036
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2005 (20.888499873056 yrs)
- Last Updated
- Feb 20, 2014
- Licenses
-
PA - 289 (ME)PA289 (ME)
Practice Information
- Address
-
592 WEST MAIN ST.-WALDOBORO, ME, 045726030Browse ME providers · Browse ZIP 04572
- Phone
- 2078326394
- Fax
- 2078324392
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WALDOBORO, ME
| Name | Credential | NPI |
|---|---|---|
| JONATHAN W COGGESHALL JR. | P.A. | 1679684401 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.