Healthcare Provider Details

I. General information

NPI: 1306751235
Provider Name (Legal Business Name): MELISSA ANN BAILEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA GRAHAM RN

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 OAK ST
CINCINNATI OH
45219-2504
US

IV. Provider business mailing address

6 KLAINS LN
MARMORA NJ
08223-1063
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-1800
  • Fax: 513-984-4909
Mailing address:
  • Phone: 609-741-4834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number26NR07244600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: