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NPI Code Detail

MEDICARE: MELISSA RENEE NELSON APRN

MEDICARE: MELISSA RENEE NELSON 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 Practitioner11040670FL

General Provider Information

NPI Number : 1083506398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA RENEE NELSON APRN
Provider Business Mailing Address
First Line : 1839 CENTRAL AVE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33713-9089
Country : US
Telephone Number : 727-322-1054
Fax Number : 727-322-2725
Provider Business Practice Location Address
First Line : 14306 7TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-3434
Country : US
Telephone Number : 813-640-0060
Fax Number : 813-779-7700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 03/04/2026

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