Individual provider · Type 1 NPI

Jennifer Marie Enderline, AG-ACNP

Acute Care Nurse Practitioner · New York, NY

NPI number 1356813653 Active

Practice location

169 Madison Ave Ste 2817
New York, NY 10016-5101

Call (888) 553-2823 Map

Fax (888) 553-2823

Other practice locations

  • 2723 S State St Ste 150, Ann Arbor, MI 48104-6188 · (888) 553-2823
  • 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 · (888) 553-2823
  • 4821 N Stone Ave, Tucson, AZ 85704-5727 · (520) 314-3300
  • 5851 Legacy Cir Fl 6, Plano, TX 75024-5966 · (888) 553-2823
  • 601 John St Ste M-318, Kalamazoo, MI 49007-5383 · (269) 349-9745

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X433088 (NY)
Acute Care Nurse Practitioner Primary 363LA2100X28255A (SC)
Acute Care Nurse Practitioner 363LA2100XAPRN10004055 (MA)
Acute Care Nurse Practitioner 363LA2100X5014071 (NC)
Acute Care Nurse Practitioner 363LA2100XAPRN11028038 (FL)
Acute Care Nurse Practitioner 363LA2100X220412 (AZ)
Acute Care Nurse Practitioner 363LA2100X4704407614 (MI)
Acute Care Nurse Practitioner 363LA2100XSP031589 (PA)
Acute Care Nurse Practitioner 363LA2100XLP-0010836 (DE)
Acute Care Nurse Practitioner 363LA2100X1141255 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356813653

Jennifer Marie Enderline, AG-ACNP's National Provider Identifier is 1356813653, issued on Dec 26, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Oct 10, 2026.