Healthcare Provider Details

I. General information

NPI: 1205659950
Provider Name (Legal Business Name): MELISSA S DAILEY APRN-CNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 WASHINGTON AVE STE 168
WHEELING WV
26003-6212
US

IV. Provider business mailing address

47 WASHINGTON AVE STE 168
WHEELING WV
26003-6212
US

V. Phone/Fax

Practice location:
  • Phone: 844-291-4535
  • Fax:
Mailing address:
  • Phone: 844-291-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number107235
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: