MEDICARE: JENNIFER A MELEGARI CNP

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
1	363LF0000X	Family Nurse Practitioner	COA10822NP	OH

General Provider Information

NPI Number	:	1275764045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A MELEGARI CNP

Provider Business Mailing Address
First Line	:	323 MARION AVE NW
Second Line	:	SUITE 200
City	:	MASSILLON
State	:	OH
Zip	:	44646-3639
Country	:	US
Telephone Number	:	330-837-1111
Fax Number	:	330-830-7965

Provider Business Practice Location Address
First Line	:	323 MARION AVE NW
Second Line	:	SUITE 200
City	:	MASSILLON
State	:	OH
Zip	:	44646-3639
Country	:	US
Telephone Number	:	330-837-1111
Fax Number	:	330-830-7965

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	04/26/2026

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