Individual
ANTONIO MARCOS JARDIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-0605
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN04207
RI
363L00000X
Nurse Practitioner
Primary
RN2303327
MA
Other
Enumeration date
09/17/2024
Last updated
01/02/2025
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