Individual
MELISSA MARGARET WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 DANIEL DR, DANVILLE, KY 40422-2527
(859) 239-5570
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013385
KY
Other
Enumeration date
10/14/2019
Last updated
08/05/2024
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