Individual
JESSICA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
168 BATTERY ST, BURLINGTON, VT 05401-5285
(802) 881-3891
(802) 860-2399
Mailing address
92 ADAMS ST, BURLINGTON, VT 05401-4525
(802) 881-3891
(802) 419-9990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0070812
VT
Other
Enumeration date
09/07/2010
Last updated
12/04/2015
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