Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Thomas William Record

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457239386

Jacob Thomas William Record is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025

Practice location Address checks out

716 Stevens Ave
Portland, ME 04103
Phone: (207) 221-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RN83209 (ME)

Record details

NPI number1457239386
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

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