Individual provider · Type 1 NPI

Jessamyn Ann Melnicoff, CRNP (NURSE PRACT)

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1215036868 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-4600 Map

Fax (215) 707-4034

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XVP001258C (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1215036868

Jessamyn Ann Melnicoff, CRNP (NURSE PRACT)'s National Provider Identifier is 1215036868, issued on Sep 21, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2018.