Individual
JACLYN NICOLE PORTELLI TREMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 BURNETT WOMACK BUILDING, CB# 7050, CHAPEL HILL, NC 27599-7050
(919) 966-4653
Mailing address
4001 BURNETT WOMACK BUILDING, CB# 7050, CHAPEL HILL, NC 27599-7050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PORT-38WRK1
NC
390200000X
Student in an Organized Health Care Education/Training Program
227142
NC
Other
Enumeration date
04/17/2017
Last updated
03/14/2025
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