Provider Demographics
NPI:1548842404
Name:POLLOCK, MELISSA AMANTI (APRN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:AMANTI
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:8241 SE RED ROOT WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1164
Mailing Address - Country:US
Mailing Address - Phone:561-389-3331
Mailing Address - Fax:561-741-3628
Practice Address - Street 1:480 MAPLEWOOD DR STE 4
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5845
Practice Address - Country:US
Practice Address - Phone:561-389-3331
Practice Address - Fax:561-741-3628
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN3141872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily