Individual
JENNIFER MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 ADAMS AVE, HAUPPAUGE, NY 11788-3631
(934) 223-6513
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404409
NY
Other
Enumeration date
03/25/2021
Last updated
09/21/2022
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