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

Mrs. Jaclyn Kimberly Foraker, FNP-C

Individual provider Family Nurse Practitioner · NPI 1073139465

Mrs. Jaclyn Kimberly Foraker, FNP-C is a Nurse Practitioner in Bangor, Maine. Qualified in 2020, 6 years ago. Practices with St Joseph Hospital, a 196-clinician group, works from 8 locations, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
6
Licensed in
ME
In the registry since
2020
Specialties on file
2
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

360 Broadway
Bangor, ME 04401-3979
Phone: (207) 907-1155
Fax: (207) 907-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 360 Broadway, Bangor, ME 04401-3979 — (207) 907-1155
  • 885 Union St Ste 215, Bangor, ME 04401-3092 — (207) 973-7380
  • 32 Resort Way, Ellsworth, ME 04605-1717 — (844) 975-4584
  • 125 Main St, Pittsfield, ME 04967-4364 — (207) 487-3726
  • 195 Fore River Pkwy, Portland, ME 04102-2780 — (207) 879-3466
  • 19 North St, Presque Isle, ME 04769-2240 — (207) 768-4568
  • 10 Washington St, Waterville, ME 04901-4315 — (207) 861-5731

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP201144 (ME)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence CNP201144 (ME)

Record details

NPI number1073139465
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESFebruary 21, 2022
Certification dateOctober 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bangor