DR. JENNIFER MELAINA SELF PHD PMHNP-BC LMHC NPI 1801174008

NPI Information

NPI: 1801174008
Provider Name: DR. JENNIFER MELAINA SELF, PHD, PMHNP-BC, LMHC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
28465 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761
Phone: (727) 600-8093
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DR. Jennifer Melaina Self, PHD, PMHNP-BC, LMHC is a psychiatric/mental health nurse practitioner in Clearwater, FL. DR. Jennifer Melaina Self, PHD, PMHNP-BC, LMHC NPI is 1801174008. 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:

28465 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761-511
Phone: (727) 600-8093
Fax: (727) 240-0604

The enumeration date for this NPI number is 7/22/2011 and was last updated on 2/3/2022.

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	101YM0800X	Counselor	Mental Health	2002032344	MISSOURI	No
2	101YM0800X	Counselor	Mental Health	17148	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11017864	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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