Jethanandani, Melissa Anne

Jethanandani, Melissa Anne is an individual health care provider with primary practice located at 4441 E Kings Canyon Rd , Fresno CA 93702-3604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jethanandani, Melissa Anne can be contacted via phone (559) 600-9180.

Contact Information

Primary practice address
4441 E Kings Canyon Rd Fresno CA 93702-3604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95002315 California

Profile Details

NPI number 1508974791
LBN Legal business name Jethanandani, Melissa Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Sep 13th, 2021 - about 3 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 1508974791 NPPES
South Carolina MEDICAID NP0891

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