MARY JANE MELONG NP NPI 1659050730

NPI Information

NPI: 1659050730
Provider Name: MARY JANE MELONG, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
7775 TROTTERS PARK ST
YPSILANTI, MI
ZIP 48197
Phone: (734) 340-9443
Get Directions

Mary Jane Melong, NP is a gerontology nurse practitioner in Ypsilanti, MI. Mary Jane Melong, NP NPI is 1659050730. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7775 TROTTERS PARK ST
YPSILANTI, MI
ZIP 48197-861
Phone: (734) 340-9443
Fax: (734) 615-5974

The enumeration date for this NPI number is 7/14/2023 and was last updated on 7/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	AG03230006	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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