Jacob Nicholas Budke, PA-C
Physician Assistant in Lewiston, ME. Individual provider (NPI-1).
NPI number1194564591
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1194564591
- Entity type
- Individual (NPI-1)
- Name
- Jacob Nicholas Budke
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2024
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | ME | Yes |
Practice location
330 Sabattus StLewiston, ME 04240-5553
Phone 207-777-8810
Mailing address
3576 Commonwealth RdWoodbury, MN 55125-4379
Phone 651-276-9169
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All 37 Physician Assistant providers in Lewiston · All 2,175 providers in Lewiston
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