IndividualActive
Lori Jacques, RN, CCM
NPI 1174648299 · Case Management Registered Nurse · Lewiston, ME
Provider details
- NPI number
- 1174648299
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, CCM
- Sex
- Female
- Sole proprietor
- No
- License
- R027612 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
93 Campus Avenue
Case Management Department
Lewiston, ME 04240
Phone: (207) 777-8507
Fax: (207) 753-5488
Approximate (ZIP-level) locationGet directions
Mailing address
Campus Avenue, Po Box 291
Lewiston, ME 04243-0291
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.