Individual
MELISSA GRACE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1679 N WILSON RD STE 110, RADCLIFF, KY 40160-1569
(270) 272-0000
Mailing address
103 IOWA CT, ELIZABETHTOWN, KY 42701-2971
(270) 401-9984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017677
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100814000
—
KY
Enumeration date
04/25/2022
Last updated
08/25/2022
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