Individual
MELINDA KAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7322 LITTLE RD STE 111, NEW PORT RICHEY, FL 34654-5589
(727) 514-3439
Mailing address
11300 OYSTER BAY CIR, NEW PORT RICHEY, FL 34654-4461
(727) 514-2373
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11038240
FL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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