Individual
MELISSA GRCIC-JACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2017030456
MO
367500000X
Certified Registered Nurse Anesthetist
ARNP9242991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004081725
—
CT
05
—
307838800
—
FL
01
—
G4068
BCBSFL
FL
Enumeration date
12/19/2005
Last updated
07/16/2024
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