Fanelli-Jordan, Melissa

Fanelli-Jordan, Melissa is an individual health care provider with primary practice located at 705 Quail Creek Dr , Amarillo TX 79124-1608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fanelli-Jordan, Melissa can be contacted via phone (806) 353-6400.

Contact Information

Primary practice address
705 Quail Creek Dr Amarillo TX 79124-1608
Phone: (806) 353-6400
Fax: (806) 358-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 616781 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 616781 Texas

Profile Details

NPI number 1023055845
LBN Legal business name Fanelli-Jordan, Melissa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 20th, 2024 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023055845 NPPES
Texas MEDICAID 175640502

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