Organization
MELLITI MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENESSIA MARIE MELLITI FNP-BC (CEO/FOUNDER)
(813) 389-1267
Entity
Organization
Contact information
Practice address
9708 GILESPIE ST STE 109, LAS VEGAS, NV 89183-7614
(813) 389-1267
(702) 405-0625
Mailing address
9708 GILESPIE ST STE 109, LAS VEGAS, NV 89183-7614
(813) 389-1267
(702) 405-0625
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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