MELLISA GEORGETTE PORTER NPI 1235615923

NPI Information

NPI: 1235615923
Provider Name: MELLISA GEORGETTE PORTER
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1180 E 55TH ST
BROOKLYN, NY
ZIP 11234
Phone: (917) 701-5277
Get Directions

Mellisa Georgette Porter is a primary care nurse practitioner in Brooklyn, NY. Mellisa Georgette Porter NPI is 1235615923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1180 E 55TH ST
BROOKLYN, NY
ZIP 11234-418
Phone: (917) 701-5277

The enumeration date for this NPI number is 7/16/2018 and was last updated on 7/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	341954	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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