Individual
SAMANTHA JO MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
617 23RD ST STE 215, ASHLAND, KY 41101-2870
(606) 408-1260
(606) 408-6327
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008231
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091405
—
OH
05
—
7100259280
—
KY
Enumeration date
08/21/2013
Last updated
10/08/2018
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