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General NPI Number Information
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NPI Number | 1821305046
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Entity Type | Individual
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Provider Name | MELISSA TESSA JEAN ANP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 8551 ELIOT AVE 1ST FLOOR
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City | REGO PARK
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State | NY
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Zip | 11374-2760
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Country | US
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Telephone | 718-909-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 795 VIVIAN CT
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City | BALDWIN
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State | NY
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Zip | 11510-4546
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Country | US
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Telephone | 516-708-5711
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1030507
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 31021
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11029310
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H169882
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704375905
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 084782-23
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 554830
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0010944
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License Number State | DE
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 75113
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License Number State | ID
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0030299
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014833
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 215200
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License Number State | AR
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Taxonomy #13
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN02670
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License Number State | RI
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Taxonomy #14
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP030909
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License Number State | PA
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Taxonomy #15
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 305911
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License Number State | NY
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