Melancon, Jackie S

Melancon, Jackie S is an individual health care provider with primary practice located at 36000 Darnall Loop , Fort Hood TX 76544-5095. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Melancon, Jackie S can be contacted via phone (254) 286-7702.

Contact Information

Primary practice address
36000 Darnall Loop Fort Hood TX 76544-5095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 198906 Texas

Profile Details

NPI number 1316096860
LBN Legal business name Melancon, Jackie S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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