Healthcare Provider Details

I. General information

NPI: 1326665472
Provider Name (Legal Business Name): JESSICA LEIGH MELO APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LEIGH HARTMAN APRN, FNP

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 UNION ST STE 106
NATICK MA
01760-7700
US

IV. Provider business mailing address

67 UNION ST STE 106
NATICK MA
01760-7700
US

V. Phone/Fax

Practice location:
  • Phone: 781-666-2711
  • Fax: 781-666-2712
Mailing address:
  • Phone: 781-666-2711
  • Fax: 781-666-2712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN54717
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN02409
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberMCS003706B
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: