Individual
JESSICA A MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
41850 W 11 MILE RD STE 202, NOVI, MI 48375-1857
(248) 660-1220
Mailing address
41850 W 11 MILE RD STE 202, NOVI, MI 48375-1857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020092618
MI
Other
Enumeration date
04/17/2021
Last updated
04/19/2021
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