Individual
MELISSA D STIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
160 N EAGLE CREEK DR STE 202, LEXINGTON, KY 40509-2125
(859) 263-0022
(859) 263-4666
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(859) 263-0022
(859) 263-4666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100764000
—
KY
Enumeration date
06/14/2021
Last updated
12/04/2025
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