MEDICARE: MELISSA ANN RUPPEL

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154203602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN RUPPEL

Provider Business Mailing Address
First Line	:	8316 FOURAKER FOREST RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-7688
Country	:	US
Telephone Number	:	601-760-5011
Fax Number	:

Provider Business Practice Location Address
First Line	:	8316 FOURAKER FOREST RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-7688
Country	:	US
Telephone Number	:	601-760-5011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “ MELISSA ANN RUPPEL ” Practice Location

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