West, Melissa L

West, Melissa L is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. West, Melissa L can be contacted via phone (678) 207-4373.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (678) 207-4373
Fax: (770) 533-4727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN148808 Georgia

Profile Details

NPI number 1457323487
LBN Legal business name West, Melissa L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Apr 26th, 2021 - 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 1457323487 NPPES
Georgia MEDICAID 809026985B
Georgia Other 10053108
Georgia Other 344076
Georgia MEDICAID 809026985C
Georgia MEDICAID 809026985E
Georgia Other P00242515
Georgia Other 340911
Georgia MEDICAID 809026985A
Georgia MEDICAID 809026985D

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