Jenkins, Melissa

Jenkins, Melissa is an sole proprietor health care provider with primary practice located at 10570 S Federal Hwy Suite 200, Port St Lucie FL 34952-5606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jenkins, Melissa can be contacted via phone (772) 380-9972.

Contact Information

Primary practice address
10570 S Federal Hwy Suite 200 Port St Lucie FL 34952-5606
Phone: (772) 380-9972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1336416692
LBN Legal business name Jenkins, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 15 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 1336416692 NPPES
Florida MEDICAID PENDING

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