Individual
MELISSA DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10100 LANTERN RD STE 250, FISHERS, IN 46037-9408
(317) 992-1988
(317) 981-1694
Mailing address
10100 LANTERN RD STE 250, FISHERS, IN 46037-9408
(317) 992-1988
(317) 981-1694
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5601009495
MI
363A00000X
Physician Assistant
Primary
10005306A
IN
363A00000X
Physician Assistant
5601009495
MI
Other
Enumeration date
09/30/2019
Last updated
07/27/2026
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