Jessica Mary Delcorvo
Nurse Practitioner - Primary Care
1140 E Michigan Ave Ste 400
Lansing
, Michigan 48912-1806
Jessica Mary Delcorvo
Nurse Practitioner - Primary Care
1140 E Michigan Ave Ste 400
Lansing
, Michigan 48912-1806
(517) 364-9605
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jessica Mary Delcorvo
- Po Box 13008
- Lansing, MI
- Zip : 48901-3008
- Fax : (517) 364-9605
- Phone : (517) 364-9650
Second Address
- Jessica Mary Delcorvo
- 1140 E Michigan Ave Ste 400
- Lansing, MI
- Zip : 48912-1806
- Fax : (517) 364-9605
- Phone : (517) 364-9650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704264695 | MI |
National Provider Identifier
| NPI | 1003223355 |
|---|---|
| Provider Name | Jessica Mary Delcorvo |
| First Address | Lansing, MI 48901-3008 |
| Second Address | Lansing, MI 48912-1806 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2014 |
| Last Update Date | 19/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.