Individual provider · Type 1 NPI

Jacob Barrett Waldman, APRN, AGACNP-BC

Nurse Practitioner · Worcester, MA

NPI number 1194581843 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice locations

  • 119 Belmont St, Worcester, MA 01605-2903 · (774) 443-7552

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN2357297 (MA)
Nurse Practitioner Primary 363L00000XRN2357297 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194581843

Jacob Barrett Waldman, APRN, AGACNP-BC's National Provider Identifier is 1194581843, issued on Feb 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Feb 22, 2024.