| Doctor Name: | MELISSA SUE JEVIC |
| NPI Number: | 1124419726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-C |
| License Number: | 26NJ00553200 |
| Business Practice Address: | 723 N Beers St Ste 2c Holmdel, NJ - 077331512 |
| Business Phone Number: | 7328888255 |
| Business Fax Number: | 7328887682 |
| Mailing Address: | 723 N Beers St Ste 2c, HOLMDEL |
| State: | NJ |
| Postal Code: | 077331512 |
| Phone Number: | 7328888255 |
| Fax Number: | 7328887682 |
| NPI Enumeration Date: | 02/18/2015 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 26NJ00553200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |