Fuquay, Melissa C

Fuquay, Melissa C is an individual health care provider with primary practice located at 421 Chestnut St , Evansville IN 47713-1227. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuquay, Melissa C can be contacted via phone (812) 426-9545.

Contact Information

Primary practice address
421 Chestnut St Evansville IN 47713-1227
Phone: (812) 426-9545
Fax: (812) 858-4512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000411A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000411A Indiana

Profile Details

NPI number 1952385791
LBN Legal business name Fuquay, Melissa C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952385791 NPPES
Indiana MEDICAID PENDING

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