IndividualActive
Edward Jernigan, MD
NPI 1982750659 · Neurology with Special Qualifications in Child Neurology Physician · Bangor, ME
Provider details
- NPI number
- 1982750659
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M10765 (ID)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MD20913 (ME)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
133 Corporate Dr
Bangor, ME 04401-4312
Phone: (207) 275-4290
Fax: (207) 973-7674
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412-1005
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2017-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.