Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY ANN MELLICK, MSN, FNP-BC
ActiveFamily Nurse Practitioner · JACKSON, WY
Registration Details
- NPI Number
- 1073897930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2011 (14.532454211822 yrs)
- Last Updated
- Jul 24, 2025
- License
-
1137 (WY)
Practice Information
- Address
-
1110 MAPLE WAYJACKSON, WY, 83001Browse WY providers · Browse ZIP 83001
- Phone
- 3077337003
- Fax
- 3077348477
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| CHARLOTTE K MASON | FNP | 1710069273 |
| CHRISTINA MORAN KITCHEN | FNP | 1679742258 |
| MARY KATHRYN WHITE | FNP | 1124287156 |
| LORI L. BOWDLER | APRN-BC | 1659511764 |
| CECELIA TRAMBURG | RN, APRN, DNP | 1942648365 |
| CAITLIN SHEA | FNP-C | 1235681461 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.