Individual
DR. MELISSA WAYBRANT-ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP, PMHNP-BC
Contact information
Practice address
5964 US HIGHWAY 90, LIVE OAK, FL 32060-8694
(302) 981-8484
(833) 672-3395
Mailing address
5964 US HIGHWAY 90, LIVE OAK, FL 32060-8694
(302) 981-8484
(833) 672-3395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015760
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11003223
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209015760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104165900
—
FL
01
—
11003223
APRN
FL
01
—
209015760
ADVANCED PRACTICE NURSE
IL
Enumeration date
04/14/2017
Last updated
05/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us