IndividualActive
Jane Vaillancourt, PA-C
NPI 1710924600 · Surgical Physician Assistant · Scarborough, ME
Provider details
- NPI number
- 1710924600
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA609 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
92 Campus Dr Ste a
Scarborough, ME 04074-7229
Phone: (207) 885-0011
Fax: (207) 885-5851
Approximate (ZIP-level) locationGet directions
Mailing address
92 Campus Dr Ste a
Scarborough, ME 04074-7229
Additional practice locations (1)
- Maine Medical Center22 Bramhall St.Portland, ME 04102Phone: (207) 885-0011Fax: (207) 885-4467
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.