Doctor Name: | MRS. KATHRYN MARY JOLIN |
NPI Number: | 1497015200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | CNP111094 |
Business Practice Address: | 69 High St Dover Foxcroft, ME - 044261270 |
Business Phone Number: | 2075644110 |
Business Fax Number: | 2075644478 |
Mailing Address: | 69 High St, DOVER FOXCROFT |
State: | ME |
Postal Code: | 044261270 |
Phone Number: | 2075644110 |
Fax Number: | 2075644478 |
NPI Enumeration Date: | 05/25/2012 |
NPI Last Update Date: | 05/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | CNP111094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |