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Individual

JAMIE NICOLE COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
39425 GARFIELD RD STE 24, CLINTON TOWNSHIP, MI 48038-4651
(586) 649-3181
(586) 649-3182
Mailing address
655 BRAWLEY SCHOOL RD STE 200, MOORESVILLE, NC 28117-9601
(704) 696-1565

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209025184
IL
363L00000X
Nurse Practitioner
Primary
4704393179
MI

Other

Enumeration date
05/06/2022
Last updated
09/22/2025
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