Individual
JESSICA MARIE HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
730 N MACOMB ST STE 228, MONROE, MI 48162-3087
(734) 242-7060
(734) 241-7580
Mailing address
4509 MCKAIN DR, TOLEDO, OH 43623-3835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704290577
MI
363LF0000X
Family Nurse Practitioner
APRN.CNP.026080
OH
Other
Enumeration date
02/20/2020
Last updated
11/03/2023
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