Individual
MELISSA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(765) 669-0602
(888) 803-6843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011368A
IN
Other
Enumeration date
08/16/2021
Last updated
02/27/2025
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