Individual
MELISSA DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
211 S 3RD ST, LOUISIANA, MO 63353-2000
(573) 754-5555
(573) 754-5932
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 248-5403
(573) 248-5419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0119396
MO
363LA2200X
Adult Health Nurse Practitioner
119396
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
2022025341
MO
Other
Enumeration date
09/17/2019
Last updated
02/16/2026
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