Individual provider · Type 1 NPI

Antonio Marcos Jardim, MSN, AGACNP-BC

Nurse Practitioner · Worcester, MA

NPI number 1265269989 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN04207 (RI)
Nurse Practitioner Primary 363L00000XRN2303327 (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 1265269989

Antonio Marcos Jardim, MSN, AGACNP-BC's National Provider Identifier is 1265269989, issued on Sep 17, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Jan 2, 2025.