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Dr. Jennifer Melaina Self, PHD,PMHNP-BC,LMHC
Psychiatric/Mental Health Nurse Practitioner in Clearwater, Florida
NPI 1801174008

Jennifer Melaina Self is a Psychiatric/Mental Health Nurse Practitioner based in Treasure Island, FL and is specialized in Psychiatric/Mental Health. Jennifer Melaina Self practices in Clearwater, FL and has the professional credentials of PHD,PMHNP-BC,LMHC. The NPI Number for Jennifer Melaina Self is 1801174008 and holds a License No. 2002032344 (Florida).

The current practice location address for Jennifer Melaina Self is 28465 Us Highway 19 N, Clearwater, FL and can be reached out via phone at 727-600-8093 and via fax at 727-240-0604.

Location: 28465 Us Highway 19 N, Clearwater, FL, 33706-5231
person
Provider Profile Details
NPI Number
1801174008
Provider Name
Jennifer Melaina Self
Credential
PHD,PMHNP-BC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
28465 Us Highway 19 N, Clearwater, FL, 33706-5231
Phone Number
727-600-8093
Fax Number
727-240-0604
Provider Enumeration Date
07/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28465 Us Highway 19 N
City
State
Zip
33761-2511
Phone Number
727-600-8093
Fax Number
727-240-0604
person
Provider Business Mailing Address Details
Address
28465 Us Highway 19 N
City
State
Zip
33761-2511
Phone Number
727-600-8093
Fax Number
727-240-0604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
17148 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2002032344 (Missouri)
Definition
Definition to come...
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