Individual
JESSICA MARIE PANTALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4990 W CLARK RD STE 100, YPSILANTI, MI 48197-1149
(810) 494-6830
Mailing address
201 E ANN ST APT 2, ANN ARBOR, MI 48104-1450
(248) 494-3420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704310892
MI
Other
Enumeration date
08/07/2019
Last updated
01/28/2025
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