Provider Demographics
NPI:1245798941
Name:PARSELL, MELANIE SOPHIA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:SOPHIA
Last Name:PARSELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 JACK MARTIN BLVD
Mailing Address - Street 2:1ST FLOOR-CANCER CENTER
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724
Mailing Address - Country:US
Mailing Address - Phone:732-528-0760
Mailing Address - Fax:732-528-0764
Practice Address - Street 1:425 JACK MARTIN BLVD
Practice Address - Street 2:1ST FLOOR-CANCER CENTER
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-528-0760
Practice Address - Fax:732-528-0764
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00521500363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology