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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB PATRICK LEIDHOLM, CNP

Active

JACOB PATRICK LEIDHOLM, CNP is a Acute Care Nurse Practitioner healthcare provider located in PORTLAND, Maine. NPI 1922765197 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · PORTLAND, ME

Registration Details

NPI Number
1922765197
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2021 (4.6813382718845 yrs)
Last Updated
Feb 24, 2026
Licenses
RN2361554 (MA)
RN2361554 (MA)
CNP231268 (ME)

Practice Information

Address
22 BRAMHALL ST
PORTLAND, ME, 041023134
Browse ME providers · Browse ZIP 04102
Phone
2076624618
Fax
2076626254
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in PORTLAND, ME

Name Credential NPI
VERA J KOMISARJEVSKY ACNP 1194714568
SUSAN C THOMPSON ANP 1053354639
MS. MARY J BRENNAN APRN-BC 1699782623
GENEVIEVE R MACDONALD ACNP 1124204375
JESSICA H WEBER ACNP 1255580429
MRS. LONDON C LELAND ANP 1962656827
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.