Provider Demographics
NPI:1730732967
Name:CATLIN, JORIE W (PMHNP)
Entity type:Individual
Prefix:
First Name:JORIE
Middle Name:W
Last Name:CATLIN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:JORIE
Other - Middle Name:W
Other - Last Name:OHLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:1 BARTOL ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6411
Mailing Address - Country:US
Mailing Address - Phone:603-986-5812
Mailing Address - Fax:
Practice Address - Street 1:123 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2652
Practice Address - Country:US
Practice Address - Phone:207-373-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP191167363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health