Melendez, Jesus M

Melendez, Jesus M is an individual health care provider with primary practice located at 1060 Peerless Xing Nw Suite 200, Cleveland TN 37312-3784. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Melendez, Jesus M can be contacted via phone (423) 479-4165.

Contact Information

Primary practice address
1060 Peerless Xing Nw Suite 200 Cleveland TN 37312-3784
Phone: (423) 479-4165
Fax: (423) 478-1884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13576 Tennessee

Profile Details

NPI number 1063664647
LBN Legal business name Melendez, Jesus M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Sep 4th, 2020 - about 4 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 1063664647 NPPES
Tennessee MEDICAID 1511396

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