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Individual

MELISSA E JESSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2236 SHENANDOAH AVE, CHARLOTTE, NC 28205-6024
(704) 999-9857
Mailing address
2236 SHENANDOAH AVE, CHARLOTTE, NC 28205-6024
(704) 999-9857

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5003896
NC
363L00000X
Nurse Practitioner
ARNP9181449
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
5003896
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7005498
NC
Enumeration date
05/24/2007
Last updated
08/21/2016
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