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NPI Code Detail

MEDICARE: MELISSA HALL APRN

MEDICARE: MELISSA HALL APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11043982FL
2164W00000XLicensed Practical NursePN 5162112FL

General Provider Information

NPI Number : 1023297389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HALL APRN
Provider Business Mailing Address
First Line : 262 COLUMBIA AVE
Second Line :
City : SEBASTIAN
State : FL
Zip : 32958-4508
Country : US
Telephone Number : 772-594-9898
Fax Number :
Provider Business Practice Location Address
First Line : 1091 PORT MALABAR BLVD NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-724-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 12/04/2025

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Directions to “ MELISSA HALL APRN” Practice Location

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