Boggan, Melissa Jean

Boggan, Melissa Jean is an individual health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boggan, Melissa Jean can be contacted via phone (443) 854-0691.

Contact Information

Primary practice address
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (443) 854-0691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11046247 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11014718 Florida

Profile Details

NPI number 1740955145
LBN Legal business name Boggan, Melissa Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2021
Last updated Jun 25th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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