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NPI Code Detail

MEDICARE: MELISSA PERRY DAVIDSON LPN

MEDICARE: MELISSA PERRY DAVIDSON LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse0002085133VA

General Provider Information

NPI Number : 1558202861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA PERRY DAVIDSON LPN
Provider Business Mailing Address
First Line : 1970 ROANOKE BLVD
Second Line :
City : SALEM
State : VA
Zip : 24153-6478
Country : US
Telephone Number : 540-982-2463
Fax Number : 540-224-1948
Provider Business Practice Location Address
First Line : 1970 ROANOKE BLVD
Second Line :
City : SALEM
State : VA
Zip : 24153-6478
Country : US
Telephone Number : 540-982-2463
Fax Number : 540-224-1948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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