Jessica H Abbatiello, NP-C
Nurse Practitioner, Family in Portland, ME. Individual provider (NPI-1).
NPI number1871811737
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1871811737
- Entity type
- Individual (NPI-1)
- Name
- Jessica H Abbatiello
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2010
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5019654 | NC | Yes |
| 163W00000X | Registered Nurse | R057015 | ME | |
| 363L00000X | Nurse Practitioner | CNP111038 | ME | |
| 363LF0000X | Nurse Practitioner, Family | AP111038 | ME |
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-3500
Mailing address
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-3500
Other practice locations
144 State St
Portland, ME 04101-3776
Portland, ME 04101-3776
Phone 207-822-2548
22 Bramhall St
Portland, ME 04102-3134
Portland, ME 04102-3134
Phone 207-662-3500
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