NPI 1073897930

Kimberly Ann Mellick, MSNFNPBC

Practitioner Family Nurse Practitioner Jackson, WY

Practice location

Address: 1110 Maple Way, Jackson, WY 83001
Phone: (307) 733-7003
Fax: (307) 734-8477
Mailing address: PO Box 10738, Jackson, WY 83002-0738

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 1137 (WY)

Other Nurse Practitioner providers in Wyoming →

Registry record

NPI: 1073897930
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2011
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.