Jesse, Melissa E

Jesse, Melissa E is an individual health care provider with primary practice located at 2236 Shenandoah Ave , Charlotte NC 28205-6024. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jesse, Melissa E can be contacted via phone (704) 999-9857.

Contact Information

Primary practice address
2236 Shenandoah Ave Charlotte NC 28205-6024
Phone: (704) 999-9857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9181449 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5003896 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5003896 North Carolina

Profile Details

NPI number 1003027178
LBN Legal business name Jesse, Melissa E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Aug 21st, 2016 - about 10 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 1003027178 NPPES
North Carolina MEDICAID 7005498

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