Provider Demographics
NPI:1649637729
Name:JAMES-MELVIN, JANET (PMHNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:JAMES-MELVIN
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7272 E INDIAN SCHOOL RD STE 540
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3996
Mailing Address - Country:US
Mailing Address - Phone:480-207-5205
Mailing Address - Fax:
Practice Address - Street 1:7272 E INDIAN SCHOOL RD STE 540
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3996
Practice Address - Country:US
Practice Address - Phone:480-207-5205
Practice Address - Fax:480-393-1858
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8395363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1639647729Medicaid