Provider Demographics
NPI:1336310457
Name:MARKLE, MELANIE JONES (ARNP)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JONES
Last Name:MARKLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 MINOR AVE E # 8
Mailing Address - Street 2:#8
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3513
Mailing Address - Country:US
Mailing Address - Phone:206-324-0315
Mailing Address - Fax:206-324-4680
Practice Address - Street 1:2021 MINOR AVE E # 8
Practice Address - Street 2:#8
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3513
Practice Address - Country:US
Practice Address - Phone:206-324-0315
Practice Address - Fax:206-324-4680
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004742364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult