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

Mr. Jeremy James Libby, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609269315

Mr. Jeremy James Libby, FNP-C is a Nurse Practitioner in Kennebunk, Maine. Qualified in 2014, 12 years ago. Practices with Convenientmd LLC, a 25-clinician group and works from 2 locations. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

69 York St Ste 4
Kennebunk, ME 04043-7186
Phone: (207) 467-3088
Fax: (207) 371-6311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Marginal Way, Portland, ME 04101-2467 — (207) 544-9355

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP151007 (ME)

Record details

NPI number1609269315
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Convenientmd Llc — 25 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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