Individual
MELISSA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 KNOWLTON CORNER RD, FARMINGTON, ME 04938-6209
(207) 578-7152
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2306804
MA
363L00000X
Nurse Practitioner
Primary
CNP261109
ME
Other
Enumeration date
09/26/2017
Last updated
03/24/2026
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