MS. Jessica Marie Tacconelli, PA-C is a medical physician assistant in West Bloomfield, MI with 13 years of experience. MS. Jessica Marie Tacconelli, PA-C NPI is 1164791752. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6330 ORCHARD LAKE RD.
SUITE 120
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 855-3366
Fax: (248) 855-6213
The NPI 1164791752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2011 and was last updated on 12/28/2011.