Individual
JOHN MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3645
Mailing address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3645
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704304498
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704304498NSA240ZT
MI
Other
Enumeration date
04/21/2014
Last updated
03/14/2025
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