Mortellite, Jamie C.

Mortellite, Jamie C. is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mortellite, Jamie C. can be contacted via phone (617) 667-1949.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 667-1949
Fax: (617) 667-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 254663 Massachusetts

Profile Details

NPI number 1295855450
LBN Legal business name Mortellite, Jamie C.
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295855450 NPPES
Massachusetts Other 94036 FALLON
Massachusetts Other NP4995 FALLON
Massachusetts Other 21258700817 FALLON
Massachusetts MEDICAID 0703095 FALLON
Massachusetts Other NP4995 FALLON

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