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

Jordan Kelly Sountis, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1356141410

Jordan Kelly Sountis, AGACNP is a Gerontology Nurse Practitioner in Portland, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025
Specialties on file
2

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP251144 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP251144 (ME)

Record details

NPI number1356141410
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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