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Individual
MS. MELISSA JESSEMAN GOALEN
Active
Individual
MS. MELISSA JESSEMAN GOALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1369112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124170B
—
GA
05
—
003214170A
—
GA
05
—
005547400
—
FL
01
—
500009569
RAILROAD MEDICARE
FL
01
—
Y8425
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/29/2005
Last updated
08/14/2014
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