IndividualActive
Jonathan Libby, DNP, APRN, CPNP
NPI 1558324772 · Pediatric Nurse Practitioner · Lewiston, ME
Provider details
- NPI number
- 1558324772
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN, CPNP
- Sex
- Male
- Sole proprietor
- No
- License
- 041889 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Campus Ave Apt 203
Lewiston, ME 04240-6079
Phone: (207) 755-3160
Fax: (207) 755-3166
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10187
Albany, NY 12201-5187
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2015-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.