Individual
JESSICA MARY DELCORVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
(517) 364-9605
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-9650
(517) 364-9605
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704264695
MI
Other
Enumeration date
07/18/2014
Last updated
09/19/2019
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