Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mellissa King-Jacobs

Individual provider Family Nurse Practitioner · NPI 1922568633

Mellissa King-Jacobs is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2019
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Practice location Address checks out

228 7th St SE
Washington, DC 20003-4306
Phone: (202) 739-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024177414 (VA)

Record details

NPI number1922568633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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