Provider Demographics
NPI:1053377259
Name:MERCIER, JENNIFER CONSIGLIA (RN)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:CONSIGLIA
Last Name:MERCIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RICKER RD
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-3248
Mailing Address - Country:US
Mailing Address - Phone:207-926-4267
Mailing Address - Fax:
Practice Address - Street 1:108 RICKER RD
Practice Address - Street 2:
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-3248
Practice Address - Country:US
Practice Address - Phone:207-926-4267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN57682163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse