Individual
AMY MELISSA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(234) 350-7322
Mailing address
18592 EDWARDS RD LOT 302, DOYLESTOWN, OH 44230-9557
(234) 350-7322
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN301643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024318
—
OH
Enumeration date
08/10/2023
Last updated
08/01/2024
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