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Individual

MS. JAMIE C. MORTELLITE

Active
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Individual

MS. JAMIE C. MORTELLITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
254663
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0703095
MA
01
21258700817
BEECH STREET
MA
01
94036
FALLON
MA
01
NP4995
BLUE CARE 65
MA
Enumeration date
03/30/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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