Healthcare Provider Details

I. General information

NPI: 1275793861
Provider Name (Legal Business Name): MELISSA OWENS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 WRIGHT AVE
BOWLING GREEN KY
42103-1623
US

IV. Provider business mailing address

640 WRIGHT AVE
BOWLING GREEN KY
42103-1623
US

V. Phone/Fax

Practice location:
  • Phone: 270-495-4323
  • Fax: 270-904-4851
Mailing address:
  • Phone: 270-495-4323
  • Fax: 270-904-4851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number46143
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3005666
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: