Healthcare Provider Details

I. General information

NPI: 1881326593
Provider Name (Legal Business Name): MELISSA-JO MEREDITH NASON DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. MELISSA-JO M NASON

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GREENWOOD AVE
CONWAY NH
03818-6130
US

IV. Provider business mailing address

7 GREENWOOD AVE
CONWAY NH
03818-6130
US

V. Phone/Fax

Practice location:
  • Phone: 603-447-3500
  • Fax:
Mailing address:
  • Phone: 603-447-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number080941-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number080941-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: