Grisaffe, Melissa Diane

Grisaffe, Melissa Diane is an individual health care provider with primary practice located at 2115 S Fremont Ave , Springfield MO 65804-2239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Grisaffe, Melissa Diane can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Springfield MO 65804-2239
Phone: (417) 820-5200
Fax: (417) 820-5220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2014022681 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A004218 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2014022681 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A004218 Arkansas

Profile Details

NPI number 1154724144
LBN Legal business name Grisaffe, Melissa Diane
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2014
Last updated Jan 6th, 2022 - about 3 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 1154724144 NPPES
Missouri MEDICAID 1154724144

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