Joanna Stephanie Portillo
Joanna Stephanie Portillo is a Nurse Practitioner in Boonsboro, Maryland. Qualified in 2024, 2 years ago. Practices with Frederick Health Medical Group LLC, a 202-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 2
- Licensed in
- MD
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9 Saint Paul St Ste 3Boonsboro, MD 21713-1334
Phone: (301) 432-6897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R233531 (MD) |
|---|---|
| Medical-Surgical Registered Nurse | Taxonomy 163WM0705X · Licence R233531 (MD) |
Record details
| NPI number | 1184473696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 16, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Frederick Health Medical Group Llc — 202 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |