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NPI Code Detail

MEDICARE: MELISSA LYNN JESSEN

MEDICARE:   MELISSA LYNN JESSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1053256487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LYNN JESSEN
Provider Business Mailing Address
First Line : 113 COUNTRY VILLA LOOP
Second Line :
City : FORT ASHBY
State : WV
Zip : 26719-6869
Country : US
Telephone Number : 304-788-5467
Fax Number : 304-788-6363
Provider Business Practice Location Address
First Line : 113 COUNTRY VILLA LOOP
Second Line :
City : FORT ASHBY
State : WV
Zip : 26719-6869
Country : US
Telephone Number : 304-788-5467
Fax Number : 304-788-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ MELISSA LYNN JESSEN ” Practice Location

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