Dr Jennifer Melaina Self, PHD, PMHNP-BC, LMHC - Counselor in Clearwater, FL

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Dr Jennifer Melaina Self, PHD, PMHNP-BC, LMHC is a Nurse Practitioner - Psychiatric/mental Health based in Clearwater, Florida. Dr Jennifer Melaina Self is licensed to practice in Florida (license number 11017864) and her current practice location is 28465 Us Highway 19 N, Clearwater, Florida. She can be reached at her office (for appointments etc.) via phone at (727) 600-8093.

NPI number for Dr Jennifer Melaina Self is 1801174008 and her current mailing address is 8200 Bayshore Dr Apt 1, Treasure Island, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801174008.

Contact Information

Dr Jennifer Melaina Self, PHD, PMHNP-BC, LMHC
28465 Us Highway 19 N,
Clearwater, FL 33761-2511
(727) 600-8093
(727) 240-0604

Map and Direction


Healthcare Provider's Profile

Full NameDr Jennifer Melaina Self
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location28465 Us Highway 19 N, Clearwater, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801174008
  • Provider Enumeration Date: 07/22/2011
  • Last Update Date: 02/03/2022

Medical Identifiers

Medical identifiers for Dr Jennifer Melaina Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801174008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2002032344 (Missouri)Secondary
101YM0800XCounselor - Mental Health 17148 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11017864 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Melaina Self is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Melaina Self, PHD, PMHNP-BC, LMHC
8200 Bayshore Dr Apt 1,
Treasure Island, FL 33706-5231

Ph: (314) 239-8190		Dr Jennifer Melaina Self, PHD, PMHNP-BC, LMHC
28465 Us Highway 19 N,
Clearwater, FL 33761-2511

Ph: (727) 600-8093

Reviews and Comments


Nurse Practitioner in Clearwater, FL


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