Individual
MRS. MELISSA LYNN BECKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 ZORN AVE, GEC-HBPC 11G, LOUISVILLE, KY 40206
(502) 287-5995
(812) 944-7260
Mailing address
800 ZORN AVE, GEC-HBPC 11G, LOUISVILLE, KY 40206
(502) 287-5995
(812) 944-7260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4745P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391150
ANTHEM BCBS
—
05
—
78015971
—
KY
01
—
P00317595
RAILROAD MEDICARE
KY
Enumeration date
05/17/2006
Last updated
03/28/2019
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