Provider Demographics
NPI:1124585419
Name:ALBRIGHT, MELISSA KAY (CRNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CLUBHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-6934
Mailing Address - Country:US
Mailing Address - Phone:256-783-8265
Mailing Address - Fax:
Practice Address - Street 1:101 RED HILL WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2568
Practice Address - Country:US
Practice Address - Phone:256-464-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-093296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily