Individual provider · Type 1 NPI
Lexi Nicole Mellin, PNP
Pediatric Nurse Practitioner · Detroit, MI
NPI number
1265304620
Active
Practice location
3901 Beaubien St
Detroit, MI 48201-2196
Mailing address
1656 Graefield Rd
Birmingham, MI 48009-7541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704398106 (MI) |
| Registered Nurse | 163W00000X | 4704398106 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1265304620
Lexi Nicole Mellin, PNP's National Provider Identifier is 1265304620, issued on Sep 23, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Dec 9, 2025.