Individual
JACQUELYN ELLEN MELDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(520) 404-6696
Mailing address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(419) 724-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3948816
MI
363LF0000X
Family Nurse Practitioner
Primary
3948816
MI
Other
Enumeration date
12/23/2015
Last updated
03/25/2026
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