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Mrs. Kimberly Ann Mellick, MSN,FNP-BC
Family Nurse Practitioner in Jackson, Wyoming
NPI 1073897930

Kimberly Ann Mellick is a Family Nurse Practitioner based in Jackson, WY and is specialized in Family. Kimberly Ann Mellick practices in Jackson, WY and has the professional credentials of MSN,FNP-BC. The NPI Number for Kimberly Ann Mellick is 1073897930 and holds a License No. 1137 (Wyoming).

The current practice location address for Kimberly Ann Mellick is 1415 S Hwy 89, Jackson, WY and can be reached out via phone at 307-739-8999 and via fax at 307-739-9222.

Location: 1415 S Hwy 89, Jackson, WY, 83001-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073897930
Provider Name
Kimberly Ann Mellick
Credential
MSN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1415 S Hwy 89, Jackson, WY, 83001-0428
Phone Number
307-739-8999
Fax Number
307-739-9222
Provider Enumeration Date
10/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121882400 05 WY
institution
Provider Business Practice Location Address Details
Address
1415 S Hwy 89
City
Jackson
State
Wyoming
Zip
83001-8515
Phone Number
307-739-8999
Fax Number
307-739-9222
person
Provider Business Mailing Address Details
Address
1415 S Hwy 89
City
Jackson
State
Wyoming
Zip
83001-8515
Phone Number
307-739-8999
Fax Number
307-739-9222
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1137 (Wyoming)
Definition
Definition to come...
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