Individual
MRS. MELISSA TESSA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8551 ELIOT AVE, 1ST FLOOR, REGO PARK, NY 11374-2760
(718) 909-7050
Mailing address
795 VIVIAN CT, BALDWIN, NY 11510-4546
(516) 708-5711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
554830
NY
363L00000X
Nurse Practitioner
0030299
OH
363L00000X
Nurse Practitioner
084782-23
NH
363L00000X
Nurse Practitioner
1030507
TX
363L00000X
Nurse Practitioner
215200
AR
363L00000X
Nurse Practitioner
31021
SC
363L00000X
Nurse Practitioner
4704375905
MI
363L00000X
Nurse Practitioner
5014833
NC
363L00000X
Nurse Practitioner
75113
ID
363L00000X
Nurse Practitioner
APRN02670
RI
363L00000X
Nurse Practitioner
APRN11029310
FL
363L00000X
Nurse Practitioner
H169882
IA
363L00000X
Nurse Practitioner
LP-0010944
DE
363L00000X
Nurse Practitioner
SP030909
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
305911
NY
Other
Enumeration date
09/09/2010
Last updated
03/05/2026
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