# MELLITI MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932894656
- **Authorized official:** MRS. JENESSIA MARIE MELLITI FNP-BC (CEO/FOUNDER)
- **Authorized official phone:** (813) 389-1267

## Contact information

- **Practice address:** 9708 GILESPIE ST STE 109, LAS VEGAS, NV 89183-7614
- **Practice address phone:** (813) 389-1267
- **Practice address fax:** (702) 405-0625
- **Mailing address:** 9708 GILESPIE ST STE 109, LAS VEGAS, NV 89183-7614
- **Mailing address phone:** (813) 389-1267
- **Mailing address fax:** (702) 405-0625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/07/2023
- **Last updated:** 04/07/2023