Individual provider · Type 1 NPI

Kimberly Ann Mellick, MSN, FNP-BC

Family Nurse Practitioner · Jackson, WY

NPI number 1073897930 Active

Practice location

1110 Maple Way
Jackson, WY 83001

Call (307) 733-7003 Map

Fax (307) 734-8477

Mailing address

PO Box 10738
Jackson, WY 83002-0738

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1137 (WY)

Family Nurse Practitioner: Definition to come...

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About NPI 1073897930

Kimberly Ann Mellick, MSN, FNP-BC's National Provider Identifier is 1073897930, issued on Oct 10, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, WY. The record was last updated on Jul 24, 2025.