Provider Demographics
NPI:1134730427
Name:PARNIN, MELISSA SUE (APRN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:PARNIN
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:SUE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4818 LIVE OAK CT
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-4061
Mailing Address - Country:US
Mailing Address - Phone:865-253-0129
Mailing Address - Fax:
Practice Address - Street 1:7333 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-6280
Practice Address - Country:US
Practice Address - Phone:260-458-3830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015094A363LF0000X
TN194018163W00000X
IN71013195A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse