Individual
JAMIE NICOLE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 GREAT CIRCLE RD FL 3, NASHVILLE, TN 37228-1317
(615) 436-9060
(615) 235-9725
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
363LF0000X
Family Nurse Practitioner
209025184
IL
363LF0000X
Family Nurse Practitioner
4704393179
MI
363LF0000X
Family Nurse Practitioner
71015149B
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP0035621
OH
Other
Enumeration date
05/06/2022
Last updated
08/05/2026
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