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NPI Code Detail

MEDICARE: STEPHANIE JOY MELTON CNP

MEDICARE: STEPHANIE JOY MELTON CNP
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
1363LF0000XFamily Nurse Practitioner229004OK
2363LF0000XFamily Nurse Practitioner71018156AIN
3363LF0000XFamily Nurse PractitionerAPRN.CNP.026255OH
4363LF0000XFamily Nurse Practitioner14281178-4405UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831721257
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JOY MELTON CNP
Provider Business Mailing Address
First Line : 3400 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1523
Country : US
Telephone Number : 614-754-5500
Fax Number : 614-457-9519
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2020
Last Update Date : 06/04/2026

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Directions to “ STEPHANIE JOY MELTON CNP” Practice Location

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