Provider Demographics
NPI:1801247945
Name:MELVIN, ASHLEIGH (NP-C)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:MELVIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:MCINTOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4058 SAINT ANDREWS CIR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-7243
Mailing Address - Country:US
Mailing Address - Phone:662-664-6472
Mailing Address - Fax:
Practice Address - Street 1:611 ALCORN DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9321
Practice Address - Country:US
Practice Address - Phone:662-293-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24638363LF0000X
MS901589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily