Individual
JESSICA NOELLE ORTISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2374
Mailing address
8145 LINDSEY RD, CASCO, MI 48064-2609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704300296
MI
Other
Enumeration date
12/07/2018
Last updated
01/06/2021
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