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

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
Show map & directions

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

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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