Webster, Melissa Grace

Webster, Melissa Grace is an sole proprietor health care provider with primary practice located at 1679 N Wilson Rd Ste 110 , Radcliff KY 40160-1569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Webster, Melissa Grace can be contacted via phone (270) 272-0000.

Contact Information

Primary practice address
1679 N Wilson Rd Ste 110 Radcliff KY 40160-1569
Phone: (270) 272-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3017677 Kentucky

Profile Details

NPI number 1245974419
LBN Legal business name Webster, Melissa Grace
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2022
Last updated Aug 25th, 2022 - about 2 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 1245974419 NPPES
Kentucky MEDICAID 7100814000

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