Individual
MS. JESSAMYN ANN MELNICOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP (NURSE PRACT)
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
(215) 707-4034
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-4600
(215) 707-4034
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP001258C
PA
Other
Enumeration date
09/21/2006
Last updated
04/17/2018
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