Individual
JASON MELNUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024176067
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP9233803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009107500
—
FL
01
—
G01F6
BCBS
FL
Enumeration date
06/05/2013
Last updated
05/09/2018
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