=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255250668
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELISSA AINSWORTH MSN- APRN FAMILY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2026
-----------------------------------------------------
Last Update Date | 07/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3543 LITTLE RD STE A
-----------------------------------------------------
City | TRINITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34655-1814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-848-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3543 LITTLE RD STE A
-----------------------------------------------------
City | TRINITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34655-1814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-848-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN11049014
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------