Individual
MRS. MELISSA MAE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6533
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000581A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200202970
—
IN
Enumeration date
05/17/2006
Last updated
04/24/2025
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