Individual
MRS. MELISSA A GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2341 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 408-9355
(270) 441-9361
Mailing address
2341 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 408-9355
(270) 441-9361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000782080
ANTHEM
KY
01
—
193400000X
TAXONOMY GROUP
KY
01
—
3007377
APRN LIC
KY
01
—
7100090800
MEDICAID GROUP
KY
05
—
7100226010
—
KY
Enumeration date
02/01/2012
Last updated
02/05/2026
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