Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP002294J | PA |
N | 363LN0000X | Nurse Practitioner - Neonatal | SP002294J | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP002294J | PA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN11005970 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | SP002294J | PA |
NPI | 1215012398 |
---|---|
Provider Name | Ms. Cheryl A. Mele |
First Address | Jacksonville, FL 32257-2425 |
Second Address | Jacksonville, FL 32257-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 18/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007692 | (05) | NJ |
4028538 | (05) | MD |
S67870 | (02) |