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NPI Code Detail

MEDICARE: JENNIFER ELAINE MELVIN PA

MEDICARE:   JENNIFER ELAINE MELVIN  PA
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
1363AM0700XMedical Physician Assistant
2363A00000XPhysician Assistant107192IA

General Provider Information

NPI Number : 1457941676
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELAINE MELVIN PA
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-5317
Fax Number : 319-467-5141
Provider Business Practice Location Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-5317
Fax Number : 319-467-5141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2021
Last Update Date : 03/02/2026

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Directions to “ JENNIFER ELAINE MELVIN PA” Practice Location

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