Individual
MELISSA MARIE FORKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1919 GREENE ST, ADEL, IA 50003-1636
(515) 993-4511
Mailing address
PO BOX 735379, CHICAGO, IL 60673-5379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A171841
IA
Other
Enumeration date
11/08/2022
Last updated
04/08/2024
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