Individual
MRS. MELISSA SHANNON DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3609 MADACA LN, TAMPA, FL 33618-2048
(720) 253-3071
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
9439368
FL
202K00000X
Phlebology Physician
9439368
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
9439368
FL
Other
Enumeration date
03/26/2013
Last updated
03/06/2025
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