Fanelli-Jordan, Melissa
Fanelli-Jordan, Melissa is an individual health care provider with primary practice located at 705 Quail Creek Dr , Amarillo TX 79124-1608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fanelli-Jordan, Melissa can be contacted via phone (806) 353-6400.Contact Information
Primary practice address
705 Quail Creek Dr
Amarillo TX 79124-1608
Phone: (806) 353-6400
Fax: (806) 358-6776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 616781 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 616781 | Texas |
Profile Details
| NPI number | 1023055845 |
|---|---|
| LBN Legal business name | Fanelli-Jordan, Melissa |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | May 20th, 2024 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023055845 | NPPES |
| Texas | MEDICAID | 175640502 |
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