Smith, Melissa Anne

Smith, Melissa Anne is an individual health care provider with primary practice located at 1200 S Church St Ste 18 , Mount Laurel NJ 08054-2936. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Melissa Anne can be contacted via phone (856) 639-6500.

Contact Information

Primary practice address
1200 S Church St Ste 18 Mount Laurel NJ 08054-2936
Phone: (856) 639-6500
Fax: (856) 329-7827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 26NR12116300 New Jersey
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 26NR12116300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01009500 New Jersey

Profile Details

NPI number 1649571175
LBN Legal business name Smith, Melissa Anne
Credentials MSN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2010
Last updated Oct 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649571175 NPPES
Other 1821702564 NPI2
MEDICAID 0905976 NPI2

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