Goalen, Melissa Jesseman

Goalen, Melissa Jesseman is an individual health care provider with primary practice located at 655 W 8Th St Ufjax - Dept. Of Nephrology, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goalen, Melissa Jesseman can be contacted via phone (904) 383-1013.

Contact Information

Primary practice address
655 W 8Th St Ufjax - Dept. Of Nephrology Jacksonville FL 32209-6511
Phone: (904) 383-1013
Fax: (904) 244-2165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1369112 Florida

Profile Details

NPI number 1770574865
LBN Legal business name Goalen, Melissa Jesseman
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2005
Last updated Aug 14th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770574865 NPPES
Florida Other 500009569 RAILROAD MEDICARE
Florida Other Y8425 RAILROAD MEDICARE
Florida MEDICAID 003124170B RAILROAD MEDICARE
Florida MEDICAID 005547400 RAILROAD MEDICARE
Florida MEDICAID 003214170A RAILROAD MEDICARE

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