=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578008801
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELODY WRIGHT FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2016
-----------------------------------------------------
Last Update Date | 05/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10927 MAHONING AVE
-----------------------------------------------------
City | NORTH JACKSON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44451-8705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-317-3237
-----------------------------------------------------
Fax | 844-408-3998
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 507 WILCOX RD APT A
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44515-6229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-317-3237
-----------------------------------------------------
Fax | 844-408-3998
-----------------------------------------------------
=====================================================
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 | APRN.CNP.020304
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------