Clarke, Melinda

Clarke, Melinda is an sole proprietor health care provider with primary practice located at 656 Main St , Port Jefferson NY 11777-2203. She recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Orthopedic, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clarke, Melinda can be contacted via phone (631) 500-5925.

Contact Information

Primary practice address
656 Main St Port Jefferson NY 11777-2203
Phone: (631) 500-5925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 22687063 New York
Nursing Service Providers / Home Health 163WH0200X 22687063 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 344753 New York
Nursing Service Providers / Medical-Surgical 163WM0705X 687063 New York
Nursing Service Providers / Orthopedic 163WX0800X 687063 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 405889 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 344753 New York

Profile Details

NPI number 1184999344
LBN Legal business name Clarke, Melinda
Credentials MS, RN, FNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2012
Last updated May 23rd, 2024 - about 4 months 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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