Davidson, Melissa B

Davidson, Melissa B is an individual health care provider with primary practice located at 207 Sparks Ave Suite 403, Jeffersonville IN 47130-3739. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davidson, Melissa B can be contacted via phone (812) 288-9141.

Contact Information

Primary practice address
207 Sparks Ave Suite 403 Jeffersonville IN 47130-3739
Phone: (812) 288-9141
Fax: (812) 288-1023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28160307A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28160307A Indiana

Profile Details

NPI number 1043613656
LBN Legal business name Davidson, Melissa B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2014
Last updated Apr 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043613656 NPPES
Indiana Other IN446560 MEDICARE
Indiana MEDICAID 201339720 MEDICARE

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