Individual provider · Type 1 NPI
Matthew Clark Jenison, ACNP
Acute Care Nurse Practitioner · Potsdam, NY
NPI number
1285994202
Active
Practice location
50 Leroy St
Potsdam, NY 13676-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 430637 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1285994202
Matthew Clark Jenison, ACNP's National Provider Identifier is 1285994202, issued on May 23, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Potsdam, NY. The record was last updated on May 23, 2012.