Melissa Jesseman Goalen in Jacksonville - Nurse Practitioner
Melissa Jesseman Goalen - NPI 1770574865
Melissa Jesseman Goalen is a Nurse Practitioner in Jacksonville, Florida. Melissa Jesseman Goalen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Melissa Jesseman Goalen is 1770574865. The last update date is 2014-08-14.
Melissa Jesseman Goalen's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9043831013 and fax number 9042442165. The mailing address for Melissa Jesseman Goalen is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Jesseman Goalen |
|---|---|
| Address | 655 W 8th St, Jacksonville, Florida |
| Phone Number | 9043831013 |
| Fax Number | 9042442165 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1770574865 |
|---|---|
| Provider Enumeration Date | 2005-10-29 |
| Last Updated Date | 2014-08-14 |
Provider Mailing Address Detail
| Address | 655 W 8th St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096511 |
| Phone Number | 9043831013 |
| Fax Number | 9042442165 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP1369112 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500009569 | FL | RAILROAD MEDICARE | |
| Y8425 | FL | BLUECROSS/BLUESHIELD | |
| 003124170B | GA | -- | |
| 5547400 | FL | -- | |
| 003214170A | GA | -- |
Post Comment/ Review Below
What is the Melissa Jesseman Goalen's 1770574865?
The Melissa Jesseman Goalen's NPI (National Provider Identifier) Number is 1770574865. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Melissa Jesseman Goalen's facilities are geographically located?
The facilities of Melissa Jesseman Goalen are physically situated at the following location: 655 W 8Th St, Jacksonville, FL, 322096511.
What is Melissa Jesseman Goalen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melissa Jesseman Goalen's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did the Melissa Jesseman Goalen receive its 1770574865?
The Melissa Jesseman Goalen was issued its 1770574865 on 2005-10-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Melissa Jesseman Goalen most recently updated?
The details pertaining to the Melissa Jesseman Goalen, including its address, specialty, and other relevant information, were last refreshed on 2014-08-14.