Provider Demographics
NPI:1740549757
Name:WEBB, MELISSA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1459 SW 74TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-0002
Mailing Address - Country:US
Mailing Address - Phone:352-507-3313
Mailing Address - Fax:479-437-8226
Practice Address - Street 1:1459 SW 74TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-0002
Practice Address - Country:US
Practice Address - Phone:352-507-3313
Practice Address - Fax:479-437-8226
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9296958363LW0102X, 363LF0000X
FLAPRN9296958363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGN792YMedicare PIN