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General NPI Number Information
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NPI Number | 1952060691
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Entity Type | Individual
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Provider Name | MELISSA SUE WERNER PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1048 ASHLEY ST STE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42103-2449
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Country | US
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Telephone | 270-205-4585
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Fax | 270-847-0024
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Provider Business Mailing Address
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Address Line | 1048 ASHLEY ST STE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42103-2449
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Country | US
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Telephone | 270-205-4585
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Fax | 270-867-0024
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3017118
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License Number State | KY
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