Individual
MELISSA ELLIS DAMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, FNP
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(866) 389-2727
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009361
NC
363LA2100X
Acute Care Nurse Practitioner
COA11531
OH
363LF0000X
Family Nurse Practitioner
24199
SC
363LF0000X
Family Nurse Practitioner
Primary
APN.24199
SC
363LP2300X
Primary Care Nurse Practitioner
APN.24199
SC
Other
Enumeration date
07/10/2010
Last updated
11/08/2024
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