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NPI Code Detail

MEDICARE: MELISSA BLANDFORD APRN

MEDICARE: MELISSA BLANDFORD 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
1364SX0200XOncology Clinical Nurse SpecialistAPRN9200538FL
2363LF0000XFamily Nurse PractitionerAPRN9200538FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255767158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BLANDFORD APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 7651 MEDICAL DR
Second Line :
City : HUDSON
State : FL
Zip : 34667-6594
Country : US
Telephone Number : 727-868-9208
Fax Number : 877-917-2347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2013
Last Update Date : 03/04/2026

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