Individual
MELLISSA KING-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 7TH ST SE, WASHINGTON, DC 20003-4306
(202) 739-1010
Mailing address
1168 NEAL ST NE, WASHINGTON, DC 20002-3822
(202) 739-1010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177414
VA
Other
Enumeration date
03/20/2019
Last updated
09/28/2021
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