Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 5003896 | NC |
N | 363L00000X | Nurse Practitioner | ARNP9181449 | FL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 5003896 | NC |
NPI | 1003027178 |
---|---|
Provider Name | Melissa E Jesse |
First Address | Charlotte, NC 28205-6024 |
Second Address | Charlotte, NC 28205-6024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 21/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7005498 | (05) | NC |