Healthcare Provider Details

I. General information

NPI: 1639431968
Provider Name (Legal Business Name): MELISSA DAWN HARVEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA DAWN WRIGHT

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 DUTCHMANS PKWY STE 200
LOUISVILLE KY
40205-3373
US

IV. Provider business mailing address

PO BOX 38
CORYDON IN
47112-0038
US

V. Phone/Fax

Practice location:
  • Phone: 502-891-8300
  • Fax:
Mailing address:
  • Phone: 812-738-4251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003977A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3007827
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: