MELONESE MCCALLISTER 0001199288
NPI 1023243367
Registered Nurse - Psychiatric/Mental Health in Portsmouth, VA
Active since May 15, 2009
About Melonese Mccallister 0001199288 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELONESE MCCALLISTER 0001199288 (NPI 1023243367) is an individual psychiatric/mental health provider in Portsmouth, Virginia, licensed in Virginia (0001199288) and active in the NPI registry since May 2009.
NPPES Registry Identity
NPI1023243367
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMELONESE MCCALLISTERCredential: 0001199288
Location Address3604 TYRE NECK RDPortsmouth, VA 23703-3158
Mailing Address3604 Tyre Neck RdPortsmouth, VA 23703-3158 · (757) 673-3243
Phone(757) 673-3243
Sole ProprietorYes
Enumeration DateMay 15, 2009
✔ NPI 1023243367 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in VA · 0001199288
3604 TYRE NECK RD, Portsmouth, VA 23703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023243367, enumerated as an "individual" on May 15, 2009.
The provider is located at 3604 TYRE NECK RD PORTSMOUTH, VA 23703 and the phone number is (757) 673-3243.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
