Individual
MRS. ALYSSA M MELLENCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3105 N BEND RD, HEBRON, KY 41048-8523
(615) 425-4201
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0031263
OH
363LF0000X
Family Nurse Practitioner
Primary
3017660
KY
363LF0000X
Family Nurse Practitioner
71007434A
IN
Other
Enumeration date
07/31/2017
Last updated
05/18/2022
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