Provider Demographics
NPI:1881326593
Name:NASON, MELISSA-JO MEREDITH (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:MELISSA-JO
Middle Name:MEREDITH
Last Name:NASON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:DR
Other - First Name:MELISSA-JO
Other - Middle Name:M
Other - Last Name:NASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-6130
Mailing Address - Country:US
Mailing Address - Phone:603-447-3500
Mailing Address - Fax:
Practice Address - Street 1:7 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6130
Practice Address - Country:US
Practice Address - Phone:603-447-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NH080941-23363LP2300X
NH080941-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse