Jamie Lauren Melville, PA
Physician Assistant, Medical in New York, NY. Individual provider (NPI-1).
NPI number1053985481
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1053985481
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jamie Lauren Melville
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2021
- Certification date
- Apr 20, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
462 1st AveNew York, NY 10016-9196
Phone 212-562-4141
Mailing address
75 Hidden Glen DrSparta, NJ 07871-3843
Phone 973-222-1830
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