Braswell, Melinda P

Braswell, Melinda P is an individual health care provider with primary practice located at 4203 Tradewinds Dr , Jacksonville FL 32250-1810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Braswell, Melinda P can be contacted via phone (904) 655-8007.

Contact Information

Primary practice address
4203 Tradewinds Dr Jacksonville FL 32250-1810
Phone: (904) 655-8007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2891552 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN2891552 Florida

Profile Details

NPI number 1568455863
LBN Legal business name Braswell, Melinda P
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Mar 21st, 2022 - 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 1568455863 NPPES
Florida MEDICAID 304774100

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