Healthcare Provider Details

I. General information

NPI: 1689250177
Provider Name (Legal Business Name): MELISSA LOUISE JOHNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ALBERT SABIN WAY 0559
CINCINNATI OH
45229-2472
US

IV. Provider business mailing address

311 ALBERT SABIN WAY 0559
CINCINNATI OH
45229-2472
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-7700
  • Fax: 513-558-8838
Mailing address:
  • Phone: 513-585-7700
  • Fax: 513-558-8838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: