Portell, Jason Edward

Portell, Jason Edward is an individual health care provider with primary practice located at 7245 Raider Rd Ste C , Bonne Terre MO 63628-3767. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Portell, Jason Edward can be contacted via phone (573) 358-4600.

Contact Information

Primary practice address
7245 Raider Rd Ste C Bonne Terre MO 63628-3767
Phone: (573) 358-4600
Fax: (573) 358-4654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016044204 Missouri

Profile Details

NPI number 1457896664
LBN Legal business name Portell, Jason Edward
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2016
Last updated Aug 11th, 2023 - about 3 years ago

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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