Provider Demographics
NPI:1588542690
Name:ALBERT, JENNIFER (RN-BSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ALBERT
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:BEAULIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BSN
Mailing Address - Street 1:10 CARTER ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:ME
Mailing Address - Zip Code:04739-3060
Mailing Address - Country:US
Mailing Address - Phone:207-444-5973
Mailing Address - Fax:207-444-5520
Practice Address - Street 1:10 CARTER ST
Practice Address - Street 2:
Practice Address - City:EAGLE LAKE
Practice Address - State:ME
Practice Address - Zip Code:04739-3060
Practice Address - Country:US
Practice Address - Phone:207-444-5973
Practice Address - Fax:207-444-5520
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN42886163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse