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JODIE L MELTON C.R.N.P.

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1396738035

Individual Registrant:
 JODIE L MELTON C.R.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
60026 HIGHWAY 49  LINEVILLE, AL 36266-4735 US
Tel: 256-396-2141  Fax: --

Contact information for business:
PO BOX 98  LINEVILLE, AL 36266-0098 US
Tel: 256-396-2141  Fax: --

Registration Information:
NPI: 1396738035
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-082713

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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