Individual
MRS. JESSICA LEIGH MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
528 NORTH MAIN ST, PROVIDENCE, RI 02904
(401) 331-5240
Mailing address
528 NORTH MAIN ST., PROVIDENCE, RI 02904
(401) 276-4020
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN54717
RI
207Q00000X
Family Medicine Physician
APRN02409
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02409
RI
Other
Enumeration date
07/06/2020
Last updated
07/13/2023
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