Individual
MELISSA JO MAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
617 23RD ST STE 400, ASHLAND, KY 41101-2880
(606) 408-5864
(606) 408-6499
Mailing address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4027273
KY
Other
Enumeration date
10/14/2024
Last updated
03/31/2026
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