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NPI Code Detail

MEDICARE: MRS. MELISSA DAWN HOLTON FNP-C

MEDICARE: MRS. MELISSA DAWN HOLTON FNP-C
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 Practitioner0024184674VA
2363LF0000XFamily Nurse Practitioner25530TN
3363LF0000XFamily Nurse Practitioner865760NV
4363LF0000XFamily Nurse Practitioner1127171TX
5363LF0000XFamily Nurse Practitioner5382788102KS
6363LF0000XFamily Nurse Practitioner222070AR
7363LF0000XFamily Nurse PractitionerGAA-NP000867GA
8363L00000XNurse PractitionerAPN0000025530TN
9363LF0000XFamily Nurse Practitioner0035541OH
10363LF0000XFamily Nurse Practitioner208151OK
11363LF0000XFamily Nurse Practitioner277003075IL
12363LF0000XFamily Nurse Practitioner222070AZ
13363LF0000XFamily Nurse PractitionerAP61299525WA
14363LF0000XFamily Nurse PractitionerAPRN11019197FL
15363LF0000XFamily Nurse PractitionerC-APN.0104480-C-NPCO

General Provider Information

NPI Number : 1174081905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA DAWN HOLTON FNP-C
Provider Business Mailing Address
First Line : 1052 YELLOW CREEK RD
Second Line :
City : DICKSON
State : TN
Zip : 37055-5061
Country : US
Telephone Number : 407-436-5092
Fax Number :
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 02/04/2026

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