Dr MATTHEW C JENISON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2012.
CANTON-POTSDAM HOSPITAL
50 LEROY ST
POTSDAM
NY
136761786
Tel:
| Npi | 1285994202 |
| Pac Id | 4082866850 |
| Professional Enrollment Id | I20121203000115 |
| Last Name | JENISON |
| First Name | MATTHEW |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | CANTON-POTSDAM HOSPITAL |
| Group Practice Pac Id | 6204827280 |
| Number Of Group Practice Members | 132 |
| Line 1 Street Address | 50 LEROY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | POTSDAM |
| State | NY |
| Zip Code | 136761786 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330197 |
| Hospital Affiliation Lbn 1 | CANTON-POTSDAM HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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