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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568554186

Lisa Jacobs, PMHNP is a Nurse Practitioner in Bangor, Maine. Qualified in 2003, 23 years ago. Practices with Eastport Health Care, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2006
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-7306
Fax: (207) 973-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R038704 (ME)

Record details

NPI number1568554186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESSeptember 4, 2015
Mailing address21823 E Sandy Hill Ln, South Bend, IN 46628-9518

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Eastport Health Care, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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