Self, Jennifer Melaina

Self, Jennifer Melaina is an individual health care provider with primary practice located at 28465 Us Highway 19 N , Clearwater FL 33761-2511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Self, Jennifer Melaina can be contacted via phone (727) 600-8093.

Contact Information

Primary practice address
28465 Us Highway 19 N Clearwater FL 33761-2511
Phone: (727) 600-8093
Fax: (727) 240-0604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2002032344 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17148 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11017864 Florida

Profile Details

NPI number 1801174008
LBN Legal business name Self, Jennifer Melaina
Credentials PHD, PMHNP-BC, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Feb 3rd, 2022 - about 2 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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