person
Jonathan Liebman, NP
Community Health Nurse Practitioner in Worthington, Massachusetts
NPI 1790755171

Jonathan Liebman is a Community Health Nurse Practitioner based in Worthington, MA and is specialized in Community Health. Jonathan Liebman practices in Worthington, MA and has the professional credentials of NP. The NPI Number for Jonathan Liebman is 1790755171 and holds a License No. 226054 (Massachusetts).

The current practice location address for Jonathan Liebman is 58 Old North Rd, Worthington, MA and can be reached out via phone at 413-238-5511 and via fax at 413-238-5358.

Location: 58 Old North Rd, Worthington, MA, 01098-9753
person
Provider Profile Details
NPI Number
1790755171
Provider Name
Jonathan Liebman
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
58 Old North Rd, Worthington, MA, 01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1363 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
58 Old North Rd
City
State
Zip
01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358
person
Provider Business Mailing Address Details
Address
58 Old North Rd
City
State
Zip
01098-9753
Phone Number
413-238-5511
Fax Number
413-238-5358
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
226054 (Massachusetts)
Definition
Definition to come...
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