Portacci, Jamie Marie

Portacci, Jamie Marie is an individual health care provider with primary practice located at 1809 Northpointe Ln Ste 102 , Ruston LA 71270. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Portacci, Jamie Marie can be contacted via phone (318) 255-3762.

Contact Information

Primary practice address
1809 Northpointe Ln Ste 102 Ruston LA 71270
Phone: (318) 255-3762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN065346 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO5948 Louisiana

Profile Details

NPI number 1659503092
LBN Legal business name Portacci, Jamie Marie
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2009
Last updated Jun 20th, 2018 - about 6 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 1659503092 NPPES
Louisiana MEDICAID 1820385

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