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Individual

MRS. MELISSA LYNN FANNON-WISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
190 CAMPUS BLVD STE 400, WINCHESTER, VA 22601-2872
(540) 667-1727
(540) 722-3373
Mailing address
190 CAMPUS BLVD STE 400, WINCHESTER, VA 22601-2872
(540) 667-1727
(540) 722-3373

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024185033
VA
363LF0000X
Family Nurse Practitioner
Primary
105608
WV
363LF0000X
Family Nurse Practitioner
AC003394
MD
363LF0000X
Family Nurse Practitioner
SP016840
PA

Other

Enumeration date
10/12/2016
Last updated
02/05/2026
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