Individual
MRS. JENNIFER JO PORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3007 TOWN CENTER DR STE 100-101, FAYETTEVILLE, NC 28306-3662
(910) 354-1281
(910) 779-2025
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 364-0894
(330) 602-4812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12492
NC
363A00000X
Physician Assistant
50.002761
OH
Other
Enumeration date
05/11/2008
Last updated
09/16/2025
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