Jackson, Melissa Rene

Jackson, Melissa Rene is an sole proprietor health care provider with primary practice located at 2744 Ewing Ave S , Minneapolis MN 55416-4213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jackson, Melissa Rene can be contacted via phone (612) 423-1556.

Contact Information

Primary practice address
2744 Ewing Ave S Minneapolis MN 55416-4213
Phone: (612) 423-1556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM1797 Minnesota

Profile Details

NPI number 1346645231
LBN Legal business name Jackson, Melissa Rene
Credentials DNP, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2014
Last updated Nov 4th, 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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