Pontello, Jessica

Pontello, Jessica is an sole proprietor health care provider with primary practice located at 25631 Little Mack Ave Ste 205 , Saint Clair Shores MI 48081-2108. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pontello, Jessica can be contacted via phone (586) 443-2930.

Contact Information

Primary practice address
25631 Little Mack Ave Ste 205 Saint Clair Shores MI 48081-2108
Phone: (586) 443-2930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704308762 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704308762 Michigan

Profile Details

NPI number 1588245799
LBN Legal business name Pontello, Jessica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2021
Last updated Jan 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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