Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jonathon Thomas Portaro, NP

Individual provider Pediatric Nurse Practitioner · NPI 1982410049

Mr. Jonathon Thomas Portaro, NP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2021, 5 years ago. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10201 E Jefferson Ave
Detroit, MI 48214-3149
Phone: (888) 813-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704330807 (MI)

Record details

NPI number1982410049
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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