Individual
MELISSA VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1025 S MAIN ST, MONTICELLO, KY 42633-2762
(606) 340-8870
(606) 340-9828
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4042689
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16575824
CAQH
KY
Enumeration date
06/23/2025
Last updated
08/14/2025
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