MATTHEW CLARK JENISON

POTSDAM, NY
NPI1285994202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  430637)
Enumeration Date2012-05-23
Last Update Date2012-05-23
Business Address
-- MATTHEW CLARK JENISON ACNP
50 LEROY ST
POTSDAM, NY 13676-1786
Phone number: 315-265-3300
Mailing Address
-- MATTHEW CLARK JENISON ACNP
50 LEROY ST
POTSDAM, NY 13676-1786
Phone number: 315-265-3300
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