Jacob Patrick Leidholm, CNP is an acute care nurse practitioner in Worcester, MA with 3 years of experience. Jacob Patrick Leidholm, CNP NPI is 1922765197. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
55 LAKE AVE N
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-3452
The NPI 1922765197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/23/2021 and was last updated on 3/21/2022.