Individual
MELISSA JOLLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14850 N 39TH AVE, PHOENIX, AZ 85053-4510
(602) 896-5600
Mailing address
3907 N VALINOR DR, BUCKEYE, AZ 85396-2163
(614) 743-5365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN210578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23431530
NCSBN ID
AZ
Enumeration date
12/15/2020
Last updated
12/15/2020
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