IndividualActive
Jeffrey Gagnon, PA
NPI 1811137888 · Surgical Physician Assistant · Waterville, ME
Provider details
- NPI number
- 1811137888
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA001156 (ME)
Practice location
180 Kennedy Memorial Dr
Suite 101
Waterville, ME 04901-4540
Phone: (207) 861-7874
Fax: (207) 861-4646
Mailing address
180 Kennedy Memorial Dr
Waterville, ME 04901-4540
Registry dates
- Enumerated
- 2009-03-03
- Last updated
- 2009-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.