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Organization

PREMIER NP CLINICAL CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MELLOTT FNP-C (CRNP)
(240) 362-6192
Entity
Organization

Contact information

Practice address
15415 SHAMROCK RD SW, CUMBERLAND, MD 21502-5842
(240) 362-6192
(240) 362-6192
Mailing address
15415 SHAMROCK RD SW, CUMBERLAND, MD 21502-5842
(240) 362-6192
(240) 362-6192

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/05/2026
Last updated
06/05/2026
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