Provider Demographics
NPI:1487847265
Name:TAYLOR, MELISSA JEAN (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:JEAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:FNP-BC
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Other - Credentials:
Mailing Address - Street 1:2520 VALLEY DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-2031
Mailing Address - Country:US
Mailing Address - Phone:304-675-2551
Mailing Address - Fax:304-675-6081
Practice Address - Street 1:2520 VALLEY DR
Practice Address - Street 2:SUITE 11
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2031
Practice Address - Country:US
Practice Address - Phone:304-675-2551
Practice Address - Fax:304-675-6081
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2013-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV56106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily