Individual
DR. MELISSA NASH EVERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Mailing address
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
082498-21
NH
171000000X
Military Health Care Provider
082498-23
NH
363LW0102X
Women's Health Nurse Practitioner
Primary
082498-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
MD
05
—
FE9604946
—
TX
Enumeration date
10/04/2017
Last updated
02/06/2026
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