Individual
MELANIE RIDGE WERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AACNP
Contact information
Practice address
915 W MONROE ST STE 100, JACKSONVILLE, FL 32204-1177
(904) 518-1398
Mailing address
915 W MONROE ST STE 100, JACKSONVILLE, FL 32204-1177
(904) 518-1398
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11033167
FL
363LA2100X
Acute Care Nurse Practitioner
903708
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125353
—
MS
01
—
640507572PT
AMERICAN ADMIN GROUP
MS
Enumeration date
08/28/2006
Last updated
10/14/2024
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