MEDICARE: MELVIN INVESTMENT GROUP, LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1598499055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELVIN INVESTMENT GROUP, LLC

Provider Business Mailing Address
First Line	:	10421 MOTOR CITY DR STE 341334
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-9996
Country	:	US
Telephone Number	:	240-669-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	10400 CONNECTICUT AVE STE 206
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3941
Country	:	US
Telephone Number	:	240-669-7496
Fax Number	:	301-321-7800

Authorized Official
Title or Position	:	PROVIDER/NURSE PRACTIONER
Name	:	DR. TONISHA JEANE MELVIN
Credential	:	NP
Telephone Number	:	240-669-7496

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	07/12/2022

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