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NPI Code Detail

MEDICARE: MELANIE ROMEN JINON FNP-BC

MEDICARE:   MELANIE ROMEN JINON  FNP-BC
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
1363LF0000XFamily Nurse Practitioner95026474CA

General Provider Information

NPI Number : 1881477297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE ROMEN JINON FNP-BC
Provider Business Mailing Address
First Line : 1983 VAN NESS ST
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3620
Country : US
Telephone Number : 510-672-5751
Fax Number :
Provider Business Practice Location Address
First Line : 1983 VAN NESS ST
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3620
Country : US
Telephone Number : 510-672-5751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ MELANIE ROMEN JINON FNP-BC” Practice Location

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