JACLYN KIMBERLY FORAKER

BANGOR, ME
NPI1073139465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  CNP201144)
Additional Taxonomies363LX0106X Nurse Practitioner, Occupational Health
(Licence: ME  CNP201144)
Enumeration Date2020-06-22
Last Update Date2022-02-21
Business Address
Mrs. JACLYN KIMBERLY FORAKER FNP-C
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-907-1155
Mailing Address
Mrs. JACLYN KIMBERLY FORAKER FNP-C
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8941