| NPI | 1386865566 |
|---|---|
| Former Name | MELISA JO TEYNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.04836-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.04836) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-02-01 |