MRS. KIMBERLY MELLICK, MSN, FNP-BC

Nurse Practitioner - Family

Active Individual
NPI: 1073897930

Practice Address

1110 MAPLE WAY
Jackson, WY 83001

Phone: (307) 733-7003

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 1137 (WY)

Frequently Asked Questions

NPI 1073897930 is the National Provider Identifier for MRS. KIMBERLY MELLICK, MSN, FNP-BC, a Nurse Practitioner - Family provider located in Jackson, WY. This NPI was enumerated on October 10, 2011.
MRS. KIMBERLY MELLICK, MSN, FNP-BC practices at 1110 MAPLE WAY, Jackson, WY 83001.

Quick Facts

NPI
1073897930
Type
Individual
Enumerated
Oct 10, 2011
Last Updated
Jul 24, 2025

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