Healthcare Provider Details

I. General information

NPI: 1578008801
Provider Name (Legal Business Name): MELODY WRIGHT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10927 MAHONING AVE
NORTH JACKSON OH
44451-8705
US

IV. Provider business mailing address

507 WILCOX RD APT A
YOUNGSTOWN OH
44515-6229
US

V. Phone/Fax

Practice location:
  • Phone: 740-317-3237
  • Fax: 844-408-3998
Mailing address:
  • Phone: 740-317-3237
  • Fax: 844-408-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020304
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: