Mary E Jude, FNP
Nurse Practitioner, Family in Bangor, ME. Individual provider (NPI-1).
NPI number1720183007
StatusActive
Last updated in NPPESMay 29, 2012
Details
- NPI
- 1720183007
- Entity type
- Individual (NPI-1)
- Name
- Mary E Jude
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- May 29, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | CNP81410 | ME | Yes |
Practice location
1048 Union St., Ste 5Bangor, ME 04401-0000
Phone 207-945-5247 · Fax 207-992-2154
Mailing address
1048 Union St., Ste 5Bangor, ME 04401-0000
Phone 207-945-5247 · Fax 207-992-2154
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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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