Individual
JENNIFER MELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1531 HUNT CLUB BLVD STE 320, GALLATIN, TN 37066-6098
(615) 452-8989
Mailing address
133 COBBLER CIR, HENDERSONVILLE, TN 37075-3963
(724) 681-3019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024175504
VA
363LF0000X
Family Nurse Practitioner
Primary
30157
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
MEDICARE PTAN
VA
Enumeration date
11/15/2017
Last updated
01/23/2025
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