Provider Demographics
NPI:1801266754
Name:WILSON, MELANIE BARRIGER (DNP-ARNP)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:BARRIGER
Last Name:WILSON
Suffix:
Gender:F
Credentials:DNP-ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:836 PRUDENTIAL DR
Mailing Address - Street 2:SUITE 1405
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8334
Mailing Address - Country:US
Mailing Address - Phone:904-388-7521
Mailing Address - Fax:904-388-3541
Practice Address - Street 1:1000 RIVERSIDE AVE STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4154
Practice Address - Country:US
Practice Address - Phone:904-388-7521
Practice Address - Fax:904-388-3541
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9170146363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health