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Maureen Jordan, LPN

Licensed Practical Nurse in Bangor, ME. Individual provider (NPI-1).

NPI number1043968076
StatusActive
Last updated in NPPESMar 18, 2022

Details

NPI
1043968076
Entity type
Individual (NPI-1)
Name
Ms. Maureen Jordan
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2022
Certification date
Mar 18, 2022
Last updated
Mar 18, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN12730MEYes

Practice location

689 Odlin Rd
Bangor, ME 04401-6709

Phone 207-947-6800 · Fax 207-947-6872

Mailing address

689 Odlin Rd
Bangor, ME 04401-6709

Phone 207-947-6800 · Fax 207-947-6872

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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