Jason Edward Portell, FNP-C
NPI #1457896664 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1457896664
- Entity Type
- Individual
- Name
- Jason Edward Portell, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Dec 23, 2016
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- 7245 RAIDER RD STE C
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-3767
- Phone
- (573) 358-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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