Individual
MELANIE RAE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 KEMPSVILLE RD RM 2B223, NORFOLK, VA 23502-3920
(757) 261-8860
Mailing address
830 KEMPSVILLE RD RM 2B223, NORFOLK, VA 23502-3920
(757) 261-8860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001263292
VA
363LF0000X
Family Nurse Practitioner
Primary
0024185976
VA
Other
Enumeration date
08/08/2022
Last updated
05/17/2024
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