Individual
MRS. MELISSA RENAE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY, SUITE 301, DAYTONA BEACH, FL 32117-5168
(386) 671-0691
(386) 671-0694
Mailing address
305 MEMORIAL MEDICAL PKWY, SUITE 301, DAYTONA BEACH, FL 32117-5168
(386) 671-0691
(386) 671-0694
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9190430
FL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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