Healthcare Provider Details

I. General information

NPI: 1073939633
Provider Name (Legal Business Name): MELISSA A NOVITS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2014
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4964 BELMONT AVE STE B
YOUNGSTOWN OH
44505-1001
US

IV. Provider business mailing address

1261 N NEWTON FALLS RD
NORTH JACKSON OH
44451-9623
US

V. Phone/Fax

Practice location:
  • Phone: 330-539-3200
  • Fax:
Mailing address:
  • Phone: 330-207-0186
  • Fax: 330-953-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.14871
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14871
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: