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General NPI Number Information
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NPI Number | 1922502293
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Entity Type | Individual
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Provider Name | MELISSA LYNN ADAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1340 S 18TH ST STE 201
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4733
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Country | US
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Telephone | 904-321-3670
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Fax | 904-376-3416
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Provider Business Mailing Address
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Address Line | PO BOX 748667
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City | ATLANTA
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State | GA
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Zip | 30374-8667
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Country | US
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Telephone | 904-202-1032
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Fax | 904-376-4107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9367222
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN9367222
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APRN9367222
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License Number State | FL
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