Individual
MELISSA FAYE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
617 23RD ST STE 400, ASHLAND, KY 41101-2880
(606) 408-2820
(606) 329-1768
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100577050
—
KY
Enumeration date
02/04/2019
Last updated
06/15/2021
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